A case of rhabdomyolysis with rigors

Introduction: Rhabdomyolysis is a potential life-threatening condition caused by extensive skeletal muscle breakdown with leakage of toxic contents into the circulation. The most dreaded complication acute renal failure effects myoglobin in kidneys. causes rhabdomyolysis are classified traumatic, non-traumatic exertional, and rhabdomyolysis. pathophysiologic hallmark regardless etiology increased free ionized calcium due to cellular energy depletion (ATP) or direct plasma membrane rupture consequent intensified contractility, mitochondrial dysfunction, production oxygen radicals. Case Report: We report case middle-aged black woman that was intense shivering chills, rigor from pneumonitis. She had no personal family history disorder admitted hospital after weeklong upper lower respiratory symptoms led worse shaking chills she ever had. noted have elevated creatine phosphokinase (CPK) 200,000 uL (26–192 uL) creatinine level 5.52 (0.81–1.2 mg/dL). started on intravenous fluid half-isotonic saline (0.45%) 77 mmol/L sodium, 75 sodium bicarbonate, hemodialysis progressive improvement kidney function took up seven weeks full recovery. Conclusion: Shivering infection can cause severe damage patient known underlying muscular-skeletal but has good recovery management hemodialysis. Renal returned back normal.