Hyperbaric Oxygen as an Adjunctive Therapy for Bilateral Compartment Syndrome, Rhabdomyolysis and Acute Renal Failure after Heroin Intake
| Autor: | Noori S. Al-Waili, Mahdi S. Abdullah, Nawras K. Baban, Glenn Butler |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Compartment Syndromes Rhabdomyolysis Fasciotomy Heroin medicine Humans Dialysis Hyperbaric Oxygenation biology business.industry General Medicine Emergency department Acute Kidney Injury medicine.disease Surgery Amputation Supportive psychotherapy Anesthesia biology.protein Creatine kinase business medicine.drug |
| Zdroj: | Archives of Medical Research. 37:559-562 |
| ISSN: | 0188-4409 |
| DOI: | 10.1016/j.arcmed.2005.07.013 |
| Popis: | Heroin abuse causes various medical and surgical complications. We report a case of heroin-induced severe bilateral compartment syndrome complicated by rhabdomyolysis, acute renal failure and extremely elevated creatinine kinase. A 30-year-old male heroin addict presented to the emergency department of Mount Vernon Hospital, Mount Vernon, New York complaining of severe pain and burning sensation in both legs and feet 1 day after abusing intravenous heroin. He had severe swelling and tenderness of both legs and feet. Laboratory data revealed tremendous elevation of creatine kinase (236,000 IU/L) consistent with rhabdomyolysis. Acute renal failure developed over subsequent days. Treatment consisted of fasciotomy, hyperbaric oxygen therapy (HBO 2 ) and supportive therapy. The condition gradually improved over 4 weeks and the patient did not require dialysis or amputation. |
| Databáze: | OpenAIRE |
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