Rhabdomyolysis caused by strenuous computer gaming.
نویسندگان
چکیده
A 40-year-old man presented with decreased mental ability and acute renal failure. He had played computer games for 3 days without rest and proper oral intake before coming to our hospital. On admission, serum creatinine was 10.1mg/dl. Urinalysis showed dysmorphic red blood cell (16–20/HPF) and proteinuria. Serum creatinine kinase was 13 840U/l (normal range, 5–217) and serum myoglobin was 8621 ng/ml (normal range, 12–80). Other serological tests were all negative. Tc-99m MDP bone scintigraphy (Figure 1) showed mainly increased uptake on both shoulder and upper arms. Other minor increased uptake was noted on neck, inner thigh and leg muscle. These were relatively symmetrical findings. He was treated with intravenous hydration and forced diuresis; over the following several days, creatinine was 1.4mg/dl and urinalysis was normalized. Discussion
منابع مشابه
Rhabdomyolysis following moderate exercise.
Raised levels of serum muscle enzyme activity are frequently seen following unaccustomed or prolonged strenuous exercise. Following particularly severe exercise, muscle enzyme levels can be extremely high and are occasionally associated with rhabdomyolysis. A case of rhabdomyolysis following a moderate degree of accustomed exercise in a fit young soldier is reported and discussed.
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ورودعنوان ژورنال:
- Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
دوره 22 4 شماره
صفحات -
تاریخ انتشار 2007