Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 23 , ISSUE 9 ( September, 2019 ) > List of Articles

CASE REPORT

Rhabdomyolysis in Intensive Care Unit: More than One Cause

Puneet Saxena

Keywords : Delirium tremens, Renal failure, Rhabdomyolysis, Tropical myositis

Citation Information : Saxena P. Rhabdomyolysis in Intensive Care Unit: More than One Cause. Indian J Crit Care Med 2019; 23 (9):427-429.

DOI: 10.5005/jp-journals-10071-23238

License: CC BY-NC 4.0

Published Online: 01-09-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Rhabdomyolysis is a serious medical condition, encountered in the intensive care unit (ICU). The etiology of rhabdomyolysis is often multifactorial. It leads to complications like acute kidney injury and life-threatening electrolyte abnormalities. A high index of suspicion and early institution of therapy is required to prevent complications and improve patient outcomes. Herein, we present the case of a young man with alcohol dependence who presented with fever and altered sensorium. He was found to have rhabdomyolysis and was managed successfully. We also discuss the common causes of rhabdomyolysis and a bedside approach to its management in the ICU.


PDF Share
  1. Zimmerman JL, Shen MC. Rhabdomyolysis. Chest 2013;144:1058–1065.
  2. Zutt R, van der Kooi AJ, Linthorst GE, Wanders RJ, de Visser M. Rhabdomyolysis: review of the literature. Neuromuscul Disord 2014;24:651–659.
  3. Melli G, Chaudhry V, Cornblath DR. Rhabdomyolysis: an evaluation of 475 hospitalized patients. Medicine (Baltimore) 2005;84:377–385.
  4. Barbano B, Sardo L, Gasperini ML, Gigante A, Liberatori M, Di Lazzaro GG, et al. Drugs and Rhabdomyolysis: From Liver to Kidney. Curr Vasc Pharmacol 2015;13:725–737.
  5. Cervellin G, Comelli I, Benatti M, Sanchis-Gomar F, Bassi A, Lippi G. Non-traumatic rhabdomyolysis: Background, laboratory features, and acute clinical management. Clin Biochem 2017;50:656–662.
  6. Curry SC, Chang D, Connor D. Drug- and toxin-induced rhabdomyolysis. Ann Emerg Med 1989;18:1068–1084.
  7. Richards JR. Rhabdomyolysis and drugs of abuse. J Emerg Med 2000;19:51–56.
  8. Shapiro ML, Baldea A, Luchette FA. Rhabdomyolysis in the intensive care unit. J Intensive Care Med 2012;27:335–342.
  9. Bosch X, Poch E, Grau JM. Rhabdomyolysis and acute kidney injury. N Engl J Med 2009;361:62–72.
  10. Brown CV, Rhee P, Chan L, Evans K, Demetriades D, Velmahos GC. Preventing renal failure in patients with rhabdomyolysis: do bicarbonate and mannitol make a difference? J Trauma 2004;56:1191–1196.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.