en Nephrology Nephrology case report case report <span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:14pt"><b><i><span style="color:blue">Background</span></i></b><i><span style="color:blue">:</span></i> <span lang="EN">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.</span><span style="font-size:9.0pt"></span></span><br> <span style="line-height:14pt"><b><i><span lang="EN"><span style="color:blue">Case presentation:</span></span></i></b><span lang="EN"> 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.</span><span style="font-size:10.0pt"></span></span><br> <span style="line-height:14pt"><b><i><span style="color:blue">Conclusion</span></i></b><i><span style="color:blue">:</span></i> 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.<b><i><span style="color:#0033cc"></span></i></b></span></span></span> Acute Kidney Injury, Compartment Syndrome, Rhabdomyolysis 810 814 http://caspjim.com/browse.php?a_code=A-10-2219-1&slc_lang=en&sid=1 I Gede Yasa Asmara yasa.asmara@unram.ac.id 100319475328460039920 100319475328460039920 Yes Department of Internal Medicine, Faculty of Medicine, University of Mataram - West Nusa Tenggara General Hospital, Mataram, Indonesia Henry Pebruanto henry_pebruanto@yahoo.com 100319475328460039921 100319475328460039921 No Department of Orthopedic Surgery, Siloam Hospitals Mataram, Mataram, Indonesia I Made Arya Winatha aryawinatha@yahoo.com 100319475328460039922 100319475328460039922 No Department of Surgery, Faculty of Medicine, University of Mataram - West Nusa Tenggara General Hospital, Mataram, Indonesia