Atypical presentation of rhabdomyolysis due to hypokalaemia induced by diuretics abuse: Case report from Sierra Leone.
DOI:
https://doi.org/10.31053/1853.0605.v75.n4.20398Keywords:
rhabdomyolysis, hipokalemia, diureticsAbstract
Rhabdomyolysis results from acute necrosis of skeletal muscle fibres and consequent leakage of muscle constituents into the circulation. Its association with anything different than trauma in the Emergency Room is not that frequent. We present the case of a 47-year-old male, hypertensive, that developed weakness and incapability to walk without help, finding on the blood biochemistry that he had developed a rhabdomyolysis due to hipokalemia after abusing of diuretics.
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1- Pignone, M, Elisa Grifoni, AF, Gabriele Ciuti, MM, Cerinic, A. Hypokalemia-induced rhabdomyolysis. Intern Emerg Med. 2014;9:487-488. https://search.proquest.com/openview/7e4a372388d327900b3326c96457b5d5/1?pq-origsite=gscholar&cbl=326318
2- Ruisz, W, Stöllberger, C, Finsterer, J, Weidinger, F. Furosemide-induced severe hypokalemia with rhabdomyolysis without cardiac arrest. BMC women's health, 2013;13(1):30. https://bmcwomenshealth.biomedcentral.com/articles/10.1186/1472-6874-13-30
3- Warren, JD, Blumbergs, PC, Thompson, PD, Rhabdomyolysis: a review. Muscle Nerve. 2002;25(3):332-347. https://onlinelibrary.wiley.com/doi/full/10.1002/mus.10053
4- Beetham, R. Biochemical investigation of suspected rhabdomyolysis. Ann Clin Biochem. 2000;37(5):581-587. http://journals.sagepub.com/doi/pdf/10.1258/0004563001899870
5- Torres, PA, Helmstetter, JA, Kaye, AM, Kaye, AD. Rhabdomyolysis: pathogenesis, diagnosis, and treatment. Ochsner. 2015;15(1):58-69. http://www.ochsnerjournal.org/doi/abs/10.1043/TOJ-13-0075?code=occl-site
6- Knochel, JP, Schlein, EM. On the mechanism of rhabdomyolysis in potassium depletion. J Clin Invest. 1972;51(7):1750-1758. https://www.jci.org/articles/view/106976
7- Jain, V, Gupta, O, Jajoo, S, Khiangate, B. Hypokalemia induced rhabdomyolysis. Indian J Nephrol. 2011;21(1):66. https://search.proquest.com/openview/e7e2fdc8030ab2b6f6fec550ace9d61e/1?pq-origsite=gscholar&cbl=226511
8- De Keyser, J, Smitz, J, Malfait, R, Ebinger, G. Rhabdomyolysis in hypokalaemic periodic paralysis: a clue to the mechanism that terminates the paralytic attack?. J Neurol. 1987;234(2):119-121. https://link.springer.com/article/10.1007/BF00314116
9- Viera, AJ, Wouk, N. Potassium Disorders: Hypokalemia and Hyperkalemia, Am Fam Physician. 2015;92(6): 487-495. http://drkney.com/pdfs/potassium_091515.pdf
10- Zavatto, A, Concistrè, A, Marinelli, C, Zingaretti, V, Umbro, I, Fiacco, F, et al. Hypokalemic rhabdomyolysis: a rare manifestation of primary aldosteronism. Eur Rev Med Pharmacol Sci. 2015;19(20):3910-3916. http://www.europeanreview.org/wp/wp-content/uploads/3910-3916.pdf
11- Yao, B, Qin, Z, Tan, Y, He, Y, Yan, J, Liang, Q. et al. Rhabdomyolysis in Primary Aldosteronism: A Case Report and Review of the Literature. AACE Clin Case Rep. 2015;1(1):e21-e27. http://journals.aace.com/doi/abs/10.4158/EP14277.CR?code=aace-site
12- Cakir, I, Senol, S, Simsek, Y, Karaca, Z, Unluhizarci, K, Tanr?verdi, F. Primary hyperaldosteronism presenting with rhabdomyolysis in emergency room-Case report. Journal of Acute Disease. 2016;5(3):264-266. https://www.sciencedirect.com/science/article/pii/S2221618916300336
13- Katz, FH, Eckert, RC, Gebott, MD. Hypokalemia caused by surreptitious self-administration of diuretics. Ann Intern Med. 1972;76(1):85-90. http://annals.org/aim/article-abstract/686081/hypokalemia-caused-surreptitious-self-administration-diuretics
14- Aravena, C, Salas, I, Tagle, R, Jara, A, Miranda, R, McNab, P, et al. Hypokalemia, hypovolemia and electrocardiographic changes due to furosemide abuse. Report of one case. Rev Med Chil. 2007;135(11):1456-1462. http://europepmc.org/abstract/med/18259658
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