Atypical presentation of rhabdomyolysis due to hypokalaemia induced by diuretics abuse: Case report from Sierra Leone.

Authors

  • Fernando Daniel Berdaguer Ferrari Médecins Sans Frontières
  • Hassanatu Bashiru Jalloh Médecins Sans Frontières
  • Abdul Rahman Barrie Médecins Sans Frontières
  • Abdul Karim Mansaray Ministry of Health – Sierra Leone.
  • Kyungah Song Médecins Sans Frontières
  • Alexandra Molina García Médecins Sans Frontières

DOI:

https://doi.org/10.31053/1853.0605.v75.n4.20398

Keywords:

rhabdomyolysis, hipokalemia, diuretics

Abstract

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.

Downloads

Download data is not yet available.

Author Biographies

Fernando Daniel Berdaguer Ferrari, Médecins Sans Frontières

Medical doctor

Hassanatu Bashiru Jalloh, Médecins Sans Frontières

Community health officer

Abdul Rahman Barrie, Médecins Sans Frontières

Community health officer

Abdul Karim Mansaray, Ministry of Health – Sierra Leone.

Community health officer

Kyungah Song, Médecins Sans Frontières

Nurse

Alexandra Molina García, Médecins Sans Frontières

Medical doctor

References

- 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

- 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

- 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

- Beetham, R. Biochemical investigation of suspected rhabdomyolysis. Ann Clin Biochem. 2000;37(5):581-587. http://journals.sagepub.com/doi/pdf/10.1258/0004563001899870

- 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

- 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

- 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

- 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

- Viera, AJ, Wouk, N. Potassium Disorders: Hypokalemia and Hyperkalemia, Am Fam Physician. 2015;92(6): 487-495. http://drkney.com/pdfs/potassium_091515.pdf

- 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

- 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

- Cakir, I, Senol, S, Simsek, Y, Karaca, Z, Unluhizarci, K, Tanrıverdi, 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

- 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

- 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

Downloads

Published

2018-12-02

How to Cite

1.
Berdaguer Ferrari FD, Jalloh HB, Barrie AR, Mansaray AK, Song K, Molina García A. Atypical presentation of rhabdomyolysis due to hypokalaemia induced by diuretics abuse: Case report from Sierra Leone. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2018 Dec. 2 [cited 2024 Jul. 17];75(4):310-3. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/20398

Issue

Section

Case Report