Rhabdomyolysis

Alcohol-induced Rhabdomyolysis: A Disease With Potential Pitfalls

Non-traumatic rhabdomyolysis induced by alcohol appears to cause serious clinical implications and could result in catastrophic consequences. We describe a patient who developed rhabdomyolysis following acute alcohol intoxication which led to severe kidney injury requiring dialysis therapy. This case also illuminates the fact that deranged liver function can result from a significant skeletal muscle injury in the absence of a concomitant liver pathology.

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Weil’s disease presenting as atypical pneumonia

Abstract

Leptospirosis is a disease caused by spp. Leptospira, also known as Weil’s disease if it manifests with jaundice. It can be associated with respiratory, renal, hepatic and haematological complications and most importantly carries a high mortality when untreated. We describe a case of a 53 year old man presenting with myalgia and fever in whom the diagnosis of leptospirosis was not initially considered. Following a deterioration in his condition a careful history revealed an apparent brief exposure to animal urine and subsequent grossly positive Leptospira serology. Treatment of his condition led to complete resolution after a brief stay on the intensive care unit. This case highlights the atypical nature of a presentation of Leptospirosis, its respiratory complications, and importance of serological testing in its diagnosis.

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Caffeine Overdose with Rhabdomyolysis and Hypokalaemia

Abstract

Caffeine, a normal content of various beverages and over the counter medications, taken in higher doses can cause serious toxicity. Complications like rhabdomyolysis and acute renal failure, which are life threatening, are reversible if diagnosed early and treated appropriately. Caffeine toxicity can also cause serious hypokalaemia, which needs prompt correction. Here we present a patient with caffeine toxicity complicated by rhabdomyolysis and acute renal failure who made a complete recovery.

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Alcohol Related Non-traumatic Rhabdomyolysis and Compartment Syndrome

Abstract

Rhabdomyolysis is a serious and life-threatening condition in which skeletal muscle is damaged, commonly resulting in acute renal failure. The causes of this clinical entity can be traumatic and non-traumatic. In the latter group, alcohol is the commonest cause. This report describes the case of a 25 year old man who presented with rhabdomyolysis leading to acute renal failure after an alcohol binge. He presented with painful legs and lower extremity compartment syndrome. The patient recovered with surgical fasciotomy and renal support. This case illustrates the importance of early recognition and treatment of alcohol related non-traumatic rhabdomyolysis and compartment syndrome.

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