A case of rhabdomyolysis related with low intensity body building exercise

Year 2015, Volume: 32 Issue: 3, 127 - 128, 17.11.2015

Hasan Kara , Aysegul Bayır , Ahmet Ak , Ali Dogru Selim Degırmencı , Murat Akıncı

https://izlik.org/JA96SJ87SS

Abstract

Rhabdomyolysis is a clinical and biochemical syndrome resulting from the acute necrosis of muscle fibers and the leak of cellular elements into circulation. It can usually develop after trauma and severe exercises. However, it may also occur following low intensity exercises. In our case, a 24-year-old man was admitted to our emergency department because of severe abdominal pain after low intensity bodybuilding exercise. The development of an acute exertional rhabdomyolysis was confirmed by the increased serum enzyme levels. The patient was treated with intravenous sodium chloride, and sodium bicarbonate. In patients admitted to the emergency room after trauma or intensive exercise who are suspected of having rhabdomyolysis, the serum creatine phosphokinase, creatinine and potassium levels should be evaluated and if found to be high, fluid treatment should be started early to avoid any potential complications.

Keywords

Creatine phosphokinase , Low intensity exercise , Rhabdomyolysis , Trauma

References

• Bontempo, L.J., Kaji, A.H., 2009. Rhabdomyolysis. In: Marx JA, Hockberger RS, Walls RM, eds. Rosen’s emergency medicine: Concepts and clinical practise 7th ed. Philadelphia, Mosby, pp. 1650-1657. doi: 10.1111/j.1553-2712.2011.01011.x.
• Bosch, X., Poch, E., Grau, J.M., 2009. Rhabdomyolysis and acute kidney injury. N. Engl. J. Med. 361, 62 72. doi: 10.1056/NEJMra0801327.
• Bywaters, E.G.L., Beall, D., 1998. Crush injuries with impairment of renal function. J. Am. Soc. Nephrol. 9, 322-332.
• Counselman, F.L., 2000. Rhabdomyolisis. In: Tintinalli JE ed. Emergency medicine a comprehensive study guide 5th ed. North Carolina; McGraw-Hill, pp. 1841-1845.
• Donmez, O., Meral, A., Yavuz, M., Durmaz, O., 2001. Crush syndrome of children in the Marmara Earthquake, Turkey. Pediatr. Int. 43, 678-682.
• Gagliano, M., Corona, D., Giuffrida, G., Giaquinta, A., Tallarita, T., Zerbo, D., Sorbello, M., Paratore, A., Virgilio, C., Cappellani, A., Veroux, P., Veroux, M., 2009. Low intensity body building exercise induced rhabdomyolysis: A case report. Cases J. 2, 7. doi: 10.1186/1757-1626-2-7.
• Have, L., Drouet, A., 2011. Isolated exercise-induced rhabdomyolysis of brachialis and brachioradialis muscles: An atypical clinical case. Ann. Phys. Rehabil. Med. 54, 525-529. doi: 10.1016/j.rehab.2011.09.010.
• Machado, M., Zini, E.N., Valadao, S.D., Amorim, M.Z., Barroso, T.Z., de Oliveira, W., 2012. Relationship of glomerular filtration rate and serum CK activity after resistance exercise in women. Int. Urol. Nephrol. 44, 515-521. doi: 10.1007/s11255-011-9963-4.
• Moratalla, M.B., Braun, P., Fornas, G.M., 2008. Importance of MRI in the diagnosis and treatment of rhabdomyolysis. Eur. J. Radiol. 65, 311- 315.
• Nâcul, F.E., O’Donnell, J.M., 2010. Rhabdomyolysis. In: O’Donnell, J.M., Nâcul, F.E., ed. Surg. Int. Care Med. 2nd Ed. Springer, pp. 529-533.
• Oh, J.Y., Laidler, M., Fiala, S.C., Hedberg, K., 2012. Acute exertional rhabdomyolysis and triceps compartment syndrome during a high school football camp. Sports Health. 4, 57-62.