Rhabdomyolysis associated AKI : case series from Iraq
Joint Authors
Source
Journal of the Faculty of Medicine Baghdad
Issue
Vol. 55, Issue 2 (30 Jun. 2013), pp.186-189, 4 p.
Publisher
University of Baghdad Faculty of Medicine
Publication Date
2013-06-30
Country of Publication
Iraq
No. of Pages
4
Main Subjects
Topics
Abstract EN
Background : rhabdomyolysis is a clinical and biochemical syndrome that occurs when skeletal muscle cells disrupt and release creatine phosphokinase and myoglobin into the interstitial space and plasma.
The causes of rhabdomyolysis are legion, but the most important and the classical form is the crush syndrome.
Acute kidney injury occurs in 33-50% of patients with rhabdomyolysis.
Here we report nine cases with acute kidney injury due to crush injury with rhabdomyolysis after the Al-Aema bridge catastrophe in Baghdad, in September 2005.
Methods : Nine patients presented to the nephrology department of the Baghdad Teaching Hospital with a suggestive history of crush and laboratory evidence of rhabdomyolysis and acute kidney injury within the first three weeks of this tragic event.
All patients were treated initially with aggressive fluid resuscitation with isotonic normal saline and bicarbonate.
However, eight patients required acute peritoneal dialysis that was followed by intermittent hemodialysis, while only one received watchful conservative treatment with intravenous fluid support.
Results : all patients achieved complete recovery of their clinical status and renal function and discharged within a period of 8 to 30 days.
Conclusion : crush syndrome is common.
Early detection, aggressive fluid supports still the main aspect of management.
Correction of electrolytes abnormalities beside the judicious decision of dialysis initiation is also important in the management of this potentially life threatening situation.
American Psychological Association (APA)
al-Wandawi, Suad& Ala Ali. 2013. Rhabdomyolysis associated AKI : case series from Iraq. Journal of the Faculty of Medicine Baghdad،Vol. 55, no. 2, pp.186-189.
https://search.emarefa.net/detail/BIM-336298
Modern Language Association (MLA)
al-Wandawi, Suad& Ala Ali. Rhabdomyolysis associated AKI : case series from Iraq. Journal of the Faculty of Medicine Baghdad Vol. 55, no. 2 (2013), pp.186-189.
https://search.emarefa.net/detail/BIM-336298
American Medical Association (AMA)
al-Wandawi, Suad& Ala Ali. Rhabdomyolysis associated AKI : case series from Iraq. Journal of the Faculty of Medicine Baghdad. 2013. Vol. 55, no. 2, pp.186-189.
https://search.emarefa.net/detail/BIM-336298
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 188-189
Record ID
BIM-336298