Acute Kidney Injury due to Rhabdomyolysis Followed by Alcohol Intake and Physical Aggression: Case Report and Literature Review

Authors

  • Elizabeth de Francesco Daher Hospital Geral de Fortaleza, Fortaleza, Ceará
  • Neiberg de Alcantara Lima Hospital Geral de Fortaleza, Fortaleza, Ceará
  • Rafael Siqueira Athayde Lima Clinical Hospital of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo
  • Pedro Henrique de Oliveira Filgueira Hospital Geral de Fortaleza, Fortaleza, Ceará
  • Meissa Kretzman Hospital Geral de Fortaleza, Fortaleza, Ceará
  • Ticiano Adler de Sousa Sindeaux Hospital Geral de Fortaleza, Fortaleza, Ceará
  • Geraldo Bezerra da Silva Júnior University of Fortaleza, Fortaleza, Ceará

DOI:

https://doi.org/10.3329/jom.v13i2.12759

Keywords:

Rhabdomyolysis, Acute kidney injury, Compartment syndrome, Physical agression, Alcoholic intoxication

Abstract

Rhabdomyolysis is defined as a skeletal muscle injury, with subsequent release of cellular constituents into the extracellular fluid and the circulation. Several conditions can lead to rhabdomyolysis, and new causes are constantly expanded with new case reports. The aim of this paper is to report on a case of acute kidney injury (AKI) induced by rhabdomyolysis due to alcohol abuse and physical agression. A 48-year-old man was admitted to the emergency room with dyspnea, lower limbs edema, weakness, oliguria and dark brown urine. Four days before admission he was physically attacked, after drinking almost 2.5 liters of beer. The diagnosis of AKI due to rhabdomyolysis was made through clinical and laboratory findings (creatine kinase 184,376 IU/l, serum urea 275 mg/dL, creatinine 14.6 mg/ dL, potassium 7.9 mEq/L). Urgency hemodyalisis was started due to anuria, refractory hiperkalemia and hypercatabolism. Recovery of renal function was recorded, after fourteen hemodialysis sessions. Patients with rhabdomyolysis are common in the emergency room. Initial therapy of fluid replacement is essential to prevent progression to renal failure. Once established, the dialysis is indicated early. The prognosis is good, when early supportive therapy is adequate.

DOI: http://dx.doi.org/10.3329/jom.v13i2.12759

J Medicine 2012; 13 : 212-215

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Author Biographies

Elizabeth de Francesco Daher, Hospital Geral de Fortaleza, Fortaleza, Ceará

Division of Nephrology

Neiberg de Alcantara Lima, Hospital Geral de Fortaleza, Fortaleza, Ceará

Division of Nephrology

Rafael Siqueira Athayde Lima, Clinical Hospital of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo

Resident Physician, Nephrology

Pedro Henrique de Oliveira Filgueira, Hospital Geral de Fortaleza, Fortaleza, Ceará

Nephrology Division

Meissa Kretzman, Hospital Geral de Fortaleza, Fortaleza, Ceará

Nephrology Division

Ticiano Adler de Sousa Sindeaux, Hospital Geral de Fortaleza, Fortaleza, Ceará

Nephrology Division

Geraldo Bezerra da Silva Júnior, University of Fortaleza, Fortaleza, Ceará

School of Medicine, Health Sciences Center

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Published

2012-11-26

How to Cite

Daher, E. de F., Lima, N. de A., Lima, R. S. A., Filgueira, P. H. de O., Kretzman, M., Sindeaux, T. A. de S., & Júnior, G. B. da S. (2012). Acute Kidney Injury due to Rhabdomyolysis Followed by Alcohol Intake and Physical Aggression: Case Report and Literature Review. Journal of Medicine, 13(2), 212–215. https://doi.org/10.3329/jom.v13i2.12759

Issue

Section

Case Reports