A Potentially Life-threatening Complication of University Orientation Activities

Overview

Journal World J Emerg Med

Specialty Emergency Medicine

Date 2014 Sep 13

PMID 25215042

Authors

Ling Pong Leung

Affiliations

Soon will be listed here.

Abstract

Background: This case report describes a university student who participated in an orientation activity and developed exertional rhabdomyolysis.

Methods: With prompt intravenous volume expansion started in the accident and emergency department, he made an uneventful recovery despite a marked elevation of creatine kinase. The riskfactors of developing exertional rhabdomyolysis were reviewed. Suggestions based on these risk factors were made to the organizers of such orientation programmes.

Results: He was discharged on day 6. On follow-up on day 8 after presentation at theaccident and emergency department, the CK level was 46 000 U/L and it fell to 2600 U/L in another 2 weeks. On follow-up 3 weeks after the incident, he remained well without symptoms.

Conclusion: For the clinicians, once rhadbomyolysis is suspected or diagnosed, intravenous fluid therapy with a crystalloid should be initiated as soon as possible to prevent the occurrence of acute renal faiure.

References

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