Minor Blunt Injury-induced Rhabdomyolysis from a Road Traffic Accident in Nigeria.

Autor: Anyabolu EN; Department of Medicine, Chukwuemeka Odumegwu Ojukwu University, Awka, Nigeria., Okoye IC; Department of Medicine, Chukwuemeka Odumegwu Ojukwu University, Awka, Nigeria., Chukwuonye II; Department of Medicine, Federal Medical Center, Umuahia, Nigeria., Anyabolu AE; Department of Medicine, Nnamdi Azikiwe University, Nnewi, Nigeria., Dike KC; Department of Ophthalmology, Federal Medical Center, Owerri, Nigeria., Ufoaroh CU; Department of Medicine, Nnamdi Azikiwe University, Nnewi, Nigeria.
Jazyk: angličtina
Zdroj: Nigerian medical journal : journal of the Nigeria Medical Association [Niger Med J] 2020 Mar-Apr; Vol. 61 (2), pp. 102-105. Date of Electronic Publication: 2020 May 07.
DOI: 10.4103/nmj.NMJ_114_19
Abstrakt: Rhabdomyolysis, though not a common complication of minor blunt trauma, may result in life-threatening acute kidney injury (AKI). Here is illustrated a case of a young male who sustained minor blunt injuries in a road traffic accident, which he overlooked and presented with features of severe AKI. The patient is a 24-year-old male, who presented with progressive weakness, difficulty in walking, and features of uremia, 14 days after he sustained minor blunt injuries and lacerations in a road traffic accident. Evaluation showed elevated serum creatine kinase, serum myoglobin, and severe azotemia. He was commenced on hemodialysis. He was also commenced on antibiotics, analgesic, and 5% dextrose/saline. He had three sessions of hemodialysis on alternate days. His condition improved remarkably after the first session of dialysis. He was discharged after 18 days on admission. Follow-up in the clinic showed a normal renal function. This case report shows rhabdomyolysis from minor blunt injuries sustained in a road traffic accident and complicated by severe AKI. The patient almost recovered full renal function with management.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2020 Nigerian Medical Journal.)
Databáze: MEDLINE