The Vagaries of Exertional Rhabdomyolysis

Eichner, E. Randy

doi:10.1249/jsr.0000000000000833

Curr Sports Med Rep

2021

DOI: 10.1249/jsr.0000000000000833

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The Vagaries of Exertional Rhabdomyolysis

E. Randy Eichner¹

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Cited by 2 publications

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“…To the Editor: In the May 2021 issue of Current Sports Medicine Reports, Dr. Randy Eichner, in his Pearls and Pitfall editorial column, published an article on "The Vagaries of Exertional Rhabdomyolysis" (1). Dr. Eichner has been a foundational contributor to the sports medicine literature for over 50 years; he is a recognized authority in exertional rhabdomyolysis (ER) and sickle cell trait (SCT).…”

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confidence: 99%

Exertional Rhabdomyolysis, Sickle Cell Trait, and “Military Misdirection”

Webber

Nye

Harmon

et al. 2021

Curr Sports Med Rep

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mentioning

confidence: 99%

Exertional Rhabdomyolysis, Sickle Cell Trait, and “Military Misdirection”

Webber

Nye

Harmon

et al. 2021

Curr Sports Med Rep

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Exercise-Associated Hyponatremic Encephalopathy, Rhabdomyolysis, and Acute Kidney Injury While Hiking in the Grand Canyon

Myers,

Bennett,

Myers

2024

Wilderness & Environmental Medicine

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We present an unusual case of concomitant exercise-associated hyponatremic encephalopathy (EAHE), exertional rhabdomyolysis (ER), and acute kidney injury (AKI) in a Grand Canyon hiker. Our case patient, an adult 41-year-old male, consumed an excessive amount of water during his descent into the Canyon during hot weather. The next day, he was unable to hike out due to severe leg pain and disorientation, and ultimately evacuated by helicopter, having a grand mal seizure in flight. Despite having no serum sodium level, medics administered an intravenous (IV) bolus of 3% hypertonic saline (HTS) before transporting him to the hospital. There, he was diagnosed with EAHE (serum sodium, 114 mmol⋅L−1), ER, bilateral compartment syndromes, and mild AKI. The life-threatening EAHE was immediately corrected with more IV HTS, the limb-threatening compartment syndromes by surgical fasciotomies, and eventually, the AKI by oral and IV fluids. This case demonstrates the seriousness of overconsumption of water, as well as the potential complications of muscle damage when a deconditioned person does prolonged, strenuous exercise. Furthermore, it also illustrates the importance of considering EAHE within the differential diagnosis for acute alterations in level of consciousness. Lastly, it shows the importance to prioritize patient treatments for conditions that are an immediate threat to life or limb.

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The Vagaries of Exertional Rhabdomyolysis

Cited by 2 publications

References 8 publications

Exertional Rhabdomyolysis, Sickle Cell Trait, and “Military Misdirection”

Exertional Rhabdomyolysis, Sickle Cell Trait, and “Military Misdirection”

Exercise-Associated Hyponatremic Encephalopathy, Rhabdomyolysis, and Acute Kidney Injury While Hiking in the Grand Canyon

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