Early intensive treatment to prevent kidney failure in post-traumatic rhabdomyolysis: Case report

Traumatic rhabdomyolysis is a clinical and biological syndrome secondary to lysis of striated muscle fibers resulting in extended musculoskeletal damage. An acute muscle damage causes the release of constituent elements of the sarcoplasmic reticulum, such as muscle enzymes, potassium, and myoglobin...

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Bibliographic Details
Published in:SAGE open medical case reports 2019, Vol.7, p.2050313X19839529
Main Authors: Pezzi, Mario, Giglio, Anna Maria, Scozzafava, Annamaria, Serafino, Giuseppe, Maglio, Pietro, Verre, Mario
Format: Article
Language:English
Subjects:
Case Report
Case reports
Kinases
Rhabdomyolysis
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Summary:Traumatic rhabdomyolysis is a clinical and biological syndrome secondary to lysis of striated muscle fibers resulting in extended musculoskeletal damage. An acute muscle damage causes the release of constituent elements of the sarcoplasmic reticulum, such as muscle enzymes, potassium, and myoglobin in plasma circulation; these conditions are at great risk of dangerous systemic complications for life such as hypovolemic shock, hyperkalemia, and acute kidney injury. We describe the case of a patient who suffered a severe musculoskeletal and vascular trauma with elevated creatine kinase values and myoglobinemia treated early with coupled plasma filtration adsorption in order to prevent kidney damage, associated with volume replacement, loop diuretics, and correction of metabolic acidosis.
ISSN:2050-313X
2050-313X
DOI:10.1177/2050313X19839529