Abstract
Background
Rhabdomyolysis, usually in the setting of trauma or drug use, is frequently seen in
the emergency setting, and often leads to hyperkalemia at presentation. Hypokalemia,
however, is a potentially underrecognized cause of rhabdomyolysis.
Case Report
We present a case of rhabdomyolysis likely due to hypokalemia in the setting of short
bowel syndrome.
Why Should an Emergency Physician Be Aware of This?
Although less common, hypokalemia can be a significant cause of rhabdomyolysis via
its effects on muscle. This scenario should be considered in the differential diagnosis
of patients at risk for hypokalemia who present with weakness. Rapid recognition of
this relationship and rapid correction of hypokalemia may prove very important in
preventing the deleterious effects of rhabdomyolysis.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Rhabdomyolysis.Intern Emerg Med. 2007; 2: 210-218
- Rhabdomyolysis and acute kidney injury.N Engl J Med. 2009; 361: 62-72
- A case of hypokalemia and rhabdomyolysis in a patient with short bowel syndrome.JPEN J Parenter Enteral Nutr. 2003; 27: 305
- Short bowel syndrome.Surgeon. 2010; 8: 270-279
- Guidelines for management of patients with a short bowel.Gut. 2006; 55: iv1-iv12
- Laxative-induced rhabdomyolysis.Clin Interv Aging. 2010; 5: 71-73
- Rhabdomyolysis due to severe hypokalemia in a Crohn's disease patient after budesonide treatment.Dig Liver Dis. 2007; 39: 776-779
- Hypokalemic rhabdomyolysis due to watery diarrhea, hypokalemia, achlorhydria (WDHA) syndrome caused by vipoma.South Med J. 2009; 102: 761-764
- Primary aldosteronism associated with severe rhabdomyolysis due to profound hypokalemia.Intern Med. 2003; 48: 219-223
- An unusual case of an aldosterone-producing adrenocortical adenoma presenting with rhabdomyolysis.J Pediatr Endocrinol Metab. 2009; 22: 1087-1090
- Hypokalemic rhabdomyolysis in a child with Gitelman's syndrome.Pediatr Nephrol. 2010; 25: 953-955
- Hypokalemic rhabdomyolysis in a child with Bartter's syndrome.Pediatr Nephrol. 2005; 20: 1189-1191
- On the mechanism of rhabdomyolysis in potassium depletion.J Clin Invest. 1972; 51: 1750-1758
- Neuromuscular manifestations of electrolyte disorders.Am J Med. 1982; 72: 521-535
Article info
Publication history
Published online: February 10, 2015
Accepted:
December 21,
2014
Received in revised form:
October 21,
2014
Received:
July 2,
2013
Identification
Copyright
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.