Cluster of exertional rhabdomyolysis in three young women
Autor: | Fiona Mitchell, Faith Gardner, Hazel J. Henderson |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
myalgia
Pediatrics medicine.medical_specialty Adolescent Physical Exertion 0211 other engineering and technologies 02 engineering and technology Rhabdomyolysis Diagnosis Differential 03 medical and health sciences Young Adult 0302 clinical medicine Chromates Medicine Humans Medical history Young adult Range of Motion Articular Creatine Kinase 021110 strategic defence & security studies business.industry Myoglobinuria 030229 sport sciences General Medicine Myalgia medicine.disease Reminder of Important Clinical Lesson Treatment Outcome Exertional rhabdomyolysis Administration Intravenous Female medicine.symptom Differential diagnosis business Range of motion |
Popis: | Three young women, aged 18–24 years, presented to general practice with signs and symptoms of exertional rhabdomyolysis in 2016. All attended the same gym and had undertaken an intensive physical workout. Presenting symptoms were severe muscle pain and swelling, significantly reduced range of motion in affected muscles and, in two cases, dark-coloured urine. One case had presented to the out-of-hours service 4 months previously with similar symptoms but rhabdomyolysis was not considered, although retrospective history taking suggests that was the likely diagnosis. All three women were admitted to hospital, treated with intravenous fluids and discharged between 1 and 6 days later. All made a full recovery with no renal sequelae. The cases were questioned about potential risk factors, and the only commonality was unaccustomed strenuous exercise. |
Databáze: | OpenAIRE |
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