Epidemiological and clinical characteristics of 109 patients with crayfish-related rhabdomyolysis

VernacularTitle:克氏原螯虾相关横纹肌溶解症109例临床特征分析
Author: Zongfeng HU ¹ ; Changsheng XU ; Shaolei MA ; Wenge LIU
Author Information

1. 东南大学附属中大医院急诊科
Keywords: Crayfish; Rhabdomyolysis; Creatine kinase; Myoglobin
From: Chinese Journal of Internal Medicine 2018;57(5):358-360
CountryChina
Language:Chinese
Abstract: A total of 109 in patients with crayfish-related rhabdomyolysis were enrolled in our hospital from July to August 2016,including 31.2％(34/109)males and 68.8％ (75/109)females.The number of home-cooked crayfish accounted for 60.6％ (66/109).Main symptom was back pain 96.3％ (105/109).The misdiagnosis rate was 15.6％ (17/109).On day 1,2,3 after admission and the day before discharge,serum creatine kinase were 1 175(446,2 258)IU/L,3 710(2 137,8 875)IU/L,1 899(1 063,4595)IU/L and 317 (152,532)IU/L,respectively(P＜0.001).Serum myoglobin were (603±484)μg/L,(313±284)μg/L,(104±74)μg/L and (55 ± 20)μg/L,respectively(F=39.1,P＜0.001).Females were more susceptible to cra.crayfish-related rhabdomyolysis.Home-cooked crayfish is prone to induce rhabdomyolysis and easily to be misdiagnosed.Creatine kinase and myoglobin showed characteristic dynamic changes.