Yıl: 2021 Cilt: 28 Sayı: 2 Sayfa Aralığı: 253 - 257 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2020.02.123 İndeks Tarihi: 28-06-2021

Acute renal injury due to rhabdomyolysis: A tertiary hospital experience

Öz:
Aim: Rhabdomyolysis (RML) is a clinical and biochemical syndrome caused by acute necrosis of striated muscle fibers and the subsequent transportation of potentially toxic cellular contents into the systemic circulation. In this study, we present data from rhabdomyolysis patients that developed acute renal failure who were hospitalized and treated in our clinic in 2019. Materials and Methods: We reviewed all cases of RML treated in the tertiary hospital within a 12-month period, which was defined as serum creatinine kinase (CK) levels > five times the upper normal limit. The inclusion criteria were as follow: (a) being aged ≥ 18 years, (b) being treated for RML within the designated time period, (c) AKI development. The exclusion criteria are as follows: (a) being aged <18 years, (b) patients without AKI, (c) patients with End Stage Renal Disease(ESRD), (d) patients with neuromuscular diseases. Among a total of 583 patients with CK > 5 time upper normal limit (UNL), 14 conformed to the inclusion criteria and were selected as subjects Results: A total of 14 patients were included in the study, 12 of which were male. The mean age of the patients was 48.1 (18–80). The etiologies were as follows: hypothyroidism, 3; prolonged exposure to sun, 2; electrolyte imbalance due to severe diarrhea, 1; viral upper respiratory tract infection (URTI), 3; intramuscular injection, 1; heavy exercise or falls.Conclusion: Rhabdomyolysis is an interdisciplinary clinical condition that can lead to life-threatening outcomes including AKI. Rapid diagnosis and treatment can be life-saving. AKI is a significant potential complication of RML and renal function should be evaluated irrespective of CK levels or the presence of myoglobinuria.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Zutt R, van der Kooi AJ, Linthorst GE, et al. Rhabdomyolysis: Review of the literature. Neuromuscul Disord 2014;24:651-9.
  • 2. Strain ML, Yingling MN, Kraleti S, et al. Rhabdomyolysis after Ginkgo biloba and cannabis. J Pharm Pract Res 2019;49:368–72.
  • 3. Yildirim T , Ede H , Özdemir Z , et al . Statine bağli rabdomiyoliz: Olgu sunumu. Bozok Tıp Dergisi 2015;5:79-5.
  • 4. Taban S, Dursun B. Severe acute renal, hepatic and cardiac failure in the setting of rhabdomyolysis due to mushroom poisoning. Cukurova Med J 2019;44:1515– 9.
  • 5. Düğeroğlu H . İntramusküler Enjeksiyon Sonrası Gelişen Rabdomiyolize Bağlı Akut Böbrek Yetmezliği: Olgu Sunumu. Klinik Tıp Aile Hekimliği 2018;10:29-31.
  • 6. Trabulus S, Özbalak M, Kaya E, et al. Case of Rhabdomyolysis in a Patient Undergoing Hemodialysis: A Possible Association with Tramadol HCl. Cerrahpaşa Med J 2019;43:34–6.
  • 7. Stahl K, Rastelli E, Schoser B. A systematic review on the definition of rhabdomyolysis. J Neurol 2020;267:877–82.
  • 8. Chatzizisis YS, Misirli G, Hatzitolios AI, et al. The syndrome of rhabdomyolysis: Complications and treatment. Eur J Intern Med 2008;8:568-74.
  • 9. Yang SH, Song YH, Kim TH, et al. Case Report Acute Pancreatitis and Rhabdomyolysis with Acute Kidney Injury following Multiple Wasp Stings. Case Rep Nephrol 2017;2017:8596981.
  • 10. Nicol JJ, Yarema MC, Jones GR, et al. Deaths from exposure to paramethoxymethamphetamine in Alberta and British Columbia, Canada: A case series. CMAJ Open 2015;3:83–90.
  • 11. Shi Y, Xu L, Tang J, et al. Inhibition of HDAC6 protects against rhabdomyolysis-induced acute kidney injury. Am J Physiol Ren Physiol 2017;312:502–15.
  • 12. Komada T, Usui F, Kawashima A, et al. Role of NLRP3 inflammasomes for rhabdomyolysis-induced acute kidney injury. Sci Rep 2015;5:10901.
  • 13. Panizo N, Rubio-Navarro A, Amaro-Villalobos JM, et al. Molecular Mechanisms and Novel Therapeutic Approaches to Rhabdomyolysis-Induced Acute Kidney Injury. Kidney Blood Press Res 2015;40:520– 32.
  • 14. Bosch X, Poch E, Grau JM. Rhabdomyolysis and acute kidney injury. N Engl J Med 2009;361:62-72.
  • 15. Torres PA, Helmstetter JA, Kaye AM, et al. Rhabdomyolysis: Pathogenesis, Diagnosis, and Treatment. Ochsner J 20;15:58-69.
  • 16. Safari S, Yousefifard M, Hashemi B, et al. The value of serum creatine kinase in predicting the risk of rhabdomyolysis-induced acute kidney injury: a systematic review and meta-analysis. Clin Exp Nephrol 2016;20:153-61.
  • 17. Premru V, Kovač J, Ponikvar R. Use of Myoglobin as a Marker and Predictor in Myoglobinuric Acute Kidney Injury. Ther Apher Dial 2013;17:391–5.
  • 18. McKenna MC, Kelly M, Boran G, et al. Spectrum of rhabdomyolysis in an acute hospital. Ir J Med Sci 2019;188:1423–6.
  • 19. Weibrecht K, Dayno M, Darling C, et al. Liver Aminotransferases Are Elevated with Rhabdomyolysis in the Absence of Significant Liver Injury. J Med Toxicol 2010;6:294–300.
APA ARAÇ E, Solmaz İ, yüksel e, EKIN N, Araç S (2021). Acute renal injury due to rhabdomyolysis: A tertiary hospital experience. , 253 - 257. 10.5455/annalsmedres.2020.02.123
Chicago ARAÇ ESREF,Solmaz İhsan,yüksel enver,EKIN NAZIM,Araç Songul Acute renal injury due to rhabdomyolysis: A tertiary hospital experience. (2021): 253 - 257. 10.5455/annalsmedres.2020.02.123
MLA ARAÇ ESREF,Solmaz İhsan,yüksel enver,EKIN NAZIM,Araç Songul Acute renal injury due to rhabdomyolysis: A tertiary hospital experience. , 2021, ss.253 - 257. 10.5455/annalsmedres.2020.02.123
AMA ARAÇ E,Solmaz İ,yüksel e,EKIN N,Araç S Acute renal injury due to rhabdomyolysis: A tertiary hospital experience. . 2021; 253 - 257. 10.5455/annalsmedres.2020.02.123
Vancouver ARAÇ E,Solmaz İ,yüksel e,EKIN N,Araç S Acute renal injury due to rhabdomyolysis: A tertiary hospital experience. . 2021; 253 - 257. 10.5455/annalsmedres.2020.02.123
IEEE ARAÇ E,Solmaz İ,yüksel e,EKIN N,Araç S "Acute renal injury due to rhabdomyolysis: A tertiary hospital experience." , ss.253 - 257, 2021. 10.5455/annalsmedres.2020.02.123
ISNAD ARAÇ, ESREF vd. "Acute renal injury due to rhabdomyolysis: A tertiary hospital experience". (2021), 253-257. https://doi.org/10.5455/annalsmedres.2020.02.123
APA ARAÇ E, Solmaz İ, yüksel e, EKIN N, Araç S (2021). Acute renal injury due to rhabdomyolysis: A tertiary hospital experience. Annals of Medical Research, 28(2), 253 - 257. 10.5455/annalsmedres.2020.02.123
Chicago ARAÇ ESREF,Solmaz İhsan,yüksel enver,EKIN NAZIM,Araç Songul Acute renal injury due to rhabdomyolysis: A tertiary hospital experience. Annals of Medical Research 28, no.2 (2021): 253 - 257. 10.5455/annalsmedres.2020.02.123
MLA ARAÇ ESREF,Solmaz İhsan,yüksel enver,EKIN NAZIM,Araç Songul Acute renal injury due to rhabdomyolysis: A tertiary hospital experience. Annals of Medical Research, vol.28, no.2, 2021, ss.253 - 257. 10.5455/annalsmedres.2020.02.123
AMA ARAÇ E,Solmaz İ,yüksel e,EKIN N,Araç S Acute renal injury due to rhabdomyolysis: A tertiary hospital experience. Annals of Medical Research. 2021; 28(2): 253 - 257. 10.5455/annalsmedres.2020.02.123
Vancouver ARAÇ E,Solmaz İ,yüksel e,EKIN N,Araç S Acute renal injury due to rhabdomyolysis: A tertiary hospital experience. Annals of Medical Research. 2021; 28(2): 253 - 257. 10.5455/annalsmedres.2020.02.123
IEEE ARAÇ E,Solmaz İ,yüksel e,EKIN N,Araç S "Acute renal injury due to rhabdomyolysis: A tertiary hospital experience." Annals of Medical Research, 28, ss.253 - 257, 2021. 10.5455/annalsmedres.2020.02.123
ISNAD ARAÇ, ESREF vd. "Acute renal injury due to rhabdomyolysis: A tertiary hospital experience". Annals of Medical Research 28/2 (2021), 253-257. https://doi.org/10.5455/annalsmedres.2020.02.123