[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 13, Issue 4 (Autumn 2022) ::
Caspian J Intern Med 2022, 13(4): 810-814 Back to browse issues page
Rhabdomyolysis with compartment syndrome-induced acute kidney injury in resource-limited settings: A case report
I Gede Yasa Asmara * , Henry Pebruanto , I Made Arya Winatha
Department of Internal Medicine, Faculty of Medicine, University of Mataram - West Nusa Tenggara General Hospital, Mataram, Indonesia , yasa.asmara@unram.ac.id
Abstract:   (362 Views)
Background: Diagnosis and management of rhabdomyolysis-induced acute kidney injury (AKI) are challenging in resource-limited settings. Laboratory markers for the diagnosis of rhabdomyolysis and continuous renal replacement therapy (CRRT) for the management of unstable hemodynamic AKI may be difficult to access. This report presented a case of rhabdomyolysis with compartment syndrome, which had a high prognostic factor for kidney failure and death in Lombok, Indonesia.
Case presentation: A 34-year-old man came to the hospital complaining of pain and swelling in his right thigh after being buried by an avalanche of buildings. Laboratory examination showed leukocytosis, hemoconcentration, increased creatinine, metabolic acidosis, hyperkalemia, and dark brown urine. Muscle damage markers showed levels of creatinine phosphokinase >20000 U/L, aspartate aminotransferase 255 U/L, alanine aminotransferase 186 U/L, and lactate dehydrogenase >3000 U/L. Diagnosis of rhabdomyolysis, compartment syndrome, and AKI was primarily on clinical grounds. Despite immediate management (fluid therapy, antibiotics, and fasciotomy), the patient continued progress to AKI. Because CRRT was not available, the patient received a single hemodialysis treatment. A day later, the patient developed hypotension, went into septic shock, and died after five days of treatment.
Conclusion: A patient with rhabdomyolysis, compartment syndrome, and acute kidney injury could have a better outcome if the patient arrived early and is treated immediately in a fully-equipped health care facility.
Keywords: Acute Kidney Injury, Compartment Syndrome, Rhabdomyolysis
Full-Text [PDF 130 kb]   (206 Downloads)    
Type of Study: case report | Subject: Nephrology
Received: 2021/02/27 | Accepted: 2021/04/6 | Published: 2022/09/2
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA



XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Asmara I G Y, Pebruanto H, Winatha I M A. Rhabdomyolysis with compartment syndrome-induced acute kidney injury in resource-limited settings: A case report. Caspian J Intern Med 2022; 13 (4) :810-814
URL: http://caspjim.com/article-1-2785-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 13, Issue 4 (Autumn 2022) Back to browse issues page
Caspian Journal of Internal Medicine
Persian site map - English site map - Created in 0.05 seconds with 30 queries by YEKTAWEB 4514