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Indian Journal of Emergency Medicine 9(4):p 225-227, October-December 2023. | DOI: 10.21088/ijem.2395.311X.9423.11
Case Report
Case Report on a Cocktail Drug Abuser Developing Rhabdomyolysis
Kamal Preet Palta, Domadala Sai Prateek Prateek, Bibhash Roy
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Emergency Medicine 9(4):p 225-227, October-December 2023. | DOI: 10.21088/ijem.2395.311X.9423.11
How Cite This Article:
Domadala SP, Palta KP, Roy B. Case Report on a Cocktail Drug Abuser Developing Rhabdomyolysis. Indian J Emerg Med. 2023;9(4):225-227.Timeline
Received : June 01, 2023
Accepted : July 15, 2023
Published : August 09, 2023
Abstract
Rhabdomyolysis is a medical emergency characterized by the break down of skeletal muscle leading to the release of intracellular contents into the blood stream, which can lead to acute kidney injury and even death. Drug abuse is one of the potential causes of rhabdomyolysis. This case report describes a 18-year-old male with a history of drug abuse who presented to the emergency department with severe muscle pain, weakness, dark and reduced amount of urine. The patient was diagnosed with rhabdomyolysis, which was likely due to a combination of high doses Marijuana, Chlorpheniramine, Dextromethorphan (Corex Syrup), Dicyclomine, Tramadol, Acetaminophen and cigarette smoking over period of 4-5 years, landed up in rhabdomyolysis after joining gym. The patient was immediately started on aggressive intravenous fluid resuscitation, and his urine output and electrolyte levels were closely monitored. Patient required initiation of Hemodialysis over period of 15 days. Patient's muscle pain and weakness gradually improved over the next few days, and he was discharged with a diagnosis of AKI due to Rhabdomyolysis due to drug abuse. Prompt recognition and treatment of rhabdomyolysis are crucial to prevent serious complications, and addiction treatment should be pursued to prevent future episodes of rhabdomyolysis and other drugrelated complications.
References
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There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
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Conflicts of Interest
The authors report no conflicts of interest in this work.
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Cite this article
Domadala SP, Palta KP, Roy B. Case Report on a Cocktail Drug Abuser Developing Rhabdomyolysis. Indian J Emerg Med. 2023;9(4):225-227.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| June 01, 2023 | July 15, 2023 | August 09, 2023 |
DOI: 10.21088/ijem.2395.311X.9423.11
Keywords
RhabdomyolysisMuscle PainSubstance AbuseMarijuanaCorex SyrupCPKFluid ResuscitationAcute Kidney InjuryHemodialysisMyoglobinuriaCritical CareEmergency ManagementSearch for Similar Articles
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Timeline
| Received | June 01, 2023 |
| Accepted | July 15, 2023 |
| Published | August 09, 2023 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
