A potentially life-threatening complication of university orientation activities
10.5847/wjem.j.issn.1920-8642.2012.01.013
- Author:
Leung Pong LING
1
Author Information
1. Accident & Emergency Department
- Keywords:
Rhadbomyolysis;
Acute renal faiure
- From:
World Journal of Emergency Medicine
2012;3(1):71-73
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND: This case report describes a university student who participated in an orientation activity and developed exertional rhabdomyolysis. METHODS: With prompt intravenous volume expansion started in the accident and emergency department, he made an uneventful recovery despite a marked elevation of creatine kinase. The risk factors of developing exertional rhabdomyolysis were reviewed. Suggestions based on these risk factors were made to the organizers of such orientation programmes. RESULTS: He was discharged on day 6. On follow-up on day 8 after presentation at the accident and emergency department, the CK level was 46000 U/L and it fell to 2600 U/L in another 2 weeks. On follow-up 3 weeks after the incident, he remained well without symptoms. CONCLUSION: For the clinicians, once rhadbomyolysis is suspected or diagnosed, intravenous fluid therapy with a crystalloid should be initiated as soon as possible to prevent the occurrence of acute renal faiure.
