Manifestaciones ultrasonográficas en rabdomiólisis

Carrillo-Esper, Raúl; Galván-Talamantes, Yazmín; Meza-Ayala, Cynthia Margarita; Cruz-Santana, Julio Alberto; Bonilla-Reséndiz, Luis Ignacio

doi:10.1016/j.circir.2015.06.036

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…An ultrasound showed that the direction of muscle fibers in the lesion area was disordered and the striated muscle texture was blurred, appearing cloudy. [28] As an effective means of diagnosing rhabdomyolysis, further ultrasound examination revealed edema in subcutaneous tissue on upper and lower limbs, and the muscle layer of the limbs was disordered and appeared glassy. Electromyography revealed myogenic injury of the upper arms, which strengthened the evidence of rhabdomyolysis diagnosis.…”

Section: Case Presentationmentioning

confidence: 99%

Rhabdomyolysis-induced acute kidney injury in a patient with undifferentiated connective tissue disease

et al. 2019

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Rationale: Acute kidney injury (AKI) accounts for 8% to 16% of hospital admissions and can quadruple hospital mortality, placing a serious burden on the health economy. Acute kidney injury (AKI) is mainly caused by dehydration, shock, infection, sepsis, heart disease, or as a side-effect of nephrotoxic drugs. About 10% to 60% of patients with rhabdomyolysis develop AKI, and 10% of AKI is attributable to rhabdomyolysis. However, rhabdomyolysis-induced AKI secondary to undifferentiated connective tissue disease (UCTD) has rarely been reported before. Patient concerns: We report the case of a 50-year-old male of UCTD presented with dark brown urine, swelling and edema of the upper limbs, and decreased urine output. Diagnosis: The patient was diagnosed with rhabdomyolysis-induced AKI secondary to UCTD. Interventions: The patient was successfully treated with intravenous methylprednisolone with other supportive treatment. Outcomes: A fter 3 days of initiating treatment of medicinal charcoal tablets, sodium bicarbonate and intravenous fluids upon admission, the patient's serum creatinine changed mildly from 145.0 μmol/L to 156.0 μmol/L, but the urinary output increased from 1000 mL/24 h to 2400 mL/24 h, with his creatine kinase (CK) and myoglobin rose from 474 IU/L to 962 IU/L and from 641.5ng/mL to 1599 ng/mL, respectively. We then tried to empirically initiate UCTD therapy by giving corticosteroids. After the administration of the 40 mg of methylprednisolone daily, the serum creatinine level dropped to 97 μmol/L the second day, CK decreased to 85 IU/L within 1 week and myoglobin decreased to 65.05 ng/mL within 10 days. When maintenance dose of 4 mg daily was given, the patient showed no abnormalities in creatinine or CK levels. Lessons: There have been few reports on the association between rhabdomyolysis-induced AKI and UCTD and its mechanism remains unclear. Clinicians should be aware of UCTD as a possible cause to rhabdomyolysis-induced AKI.

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Section: Case Presentationmentioning

confidence: 99%

Rhabdomyolysis-induced acute kidney injury in a patient with undifferentiated connective tissue disease

et al. 2019

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Neuromuscular complications of the lower extremity after thrombectomy in a patient with superficial femoral artery occlusion: Case series

Lim

Kim

et al. 2024

BMR

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BACKGROUND: Ischemia reperfusion (IR) injury may result in rhabdomyolysis and compartment syndrome when blood supply returns after thrombectomy for patients with acute limb ischemia. OBJECTIVE: We highlight the value of early diagnosis and treatment in post-thrombectomy patients with IR injuries in their lower legs. CASE DESCRIPTION: Two patients received thrombectomy due to left superficial femoral artery occlusion. Both patients complained of left calf pain during ambulation at the 1- and 3-day follow up post-thrombectomy, as well as a heating sensation, swelling, weakness, and sensory changes in the affected leg. For early diagnosis musculoskeletal ultrasounds were performed and in both cases revealed swelling and change of echogenicity in the left calf. To further diagnosis, magnetic resonance imaging of the left leg revealed limb IR-induced muscular injury and rhabdomyolysis, respectively. In both cases, an electrodiagnostic study revealed peripheral nerve injury in the left leg. Medications were provided for neuropathic pain control and early rehabilitation was performed to improve function. In both cases, patients reported during their follow-up that their pain and muscle weakness had improved. CONCLUSION: When post-thrombectomy calf pain occurs early evaluation and treatment should be performed to identify any potential IR injury.

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Manifestaciones ultrasonográficas en rabdomiólisis

Abstract: Ultrasound is a useful tool in the evaluation of rhabdomyolysis.

Cited by 2 publications

References 14 publications

Rhabdomyolysis-induced acute kidney injury in a patient with undifferentiated connective tissue disease

Rhabdomyolysis-induced acute kidney injury in a patient with undifferentiated connective tissue disease

Neuromuscular complications of the lower extremity after thrombectomy in a patient with superficial femoral artery occlusion: Case series

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