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Archivos de Medicina Interna

Print version ISSN 0250-3816On-line version ISSN 1688-423X

Abstract

LOIOLA DE CARVALHO, Rafaela; FREITAS DE ARAUJO, Rianne; JUNIOR, Geraldo Bezerra da Silva  and  DE FRANCESCO DAHER, Elizabeth. Rhabdomyolysis and acute kidney failure associated with the use of cocaine and vigorous exercice. Arch. Med Int [online]. 2013, vol.35, n.2, pp.55-58. ISSN 0250-3816.

 AbstractABSTRACT: Arch Med Ina 2013 - 35(2):55-58 Rhabdomyolysis is a clinical condition in which there is injury to the muscle, which causes the release of celular components into circulation, and one of the complications isa cute kidney injury. We describe the case of a 46 years old patient, drug user for more than 20 years, who has uses large amount of cocaine and then went to practice a strenuous exercise. After the episode he developed moderate intensity abdominal pain, associated with dark-colored urine and oliguria, along with nausea, vomiting and fever. He was admitted with respiratory insufficiency, acute kidney injury and metabolic acidosis. The levels of creatinokinasa were extremely high (47914IU/L). Urgent hemodialysis was done. The patient remained stable, with normalization of arterial pH and a syndrome compatible with abstinence, which was treated with benzodiazepines. After ten days he presented total recovery of renal function. This case illustrates the occurrence of rhabdomyolysis and acute kidney injury due to the use of cocaine. It is important to have in mind the possible occurrence of these complications in every drug user patient, in order to give adequate diagnosis and treatment.

Keywords : Rhabdomyolysis; Cocaine; Acute kidney injury; Exercise; Hemodialysis.

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