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Case Report

Life Threatening Rhabdomyolysis, A Rare and Unusual Presentation with Rosuvastatin Ingestion

Umran Rafeeq Sheikh, Masters in Emergency Medicine, PGY3, Max Healthcare, Saket, New Delhi, Delhi 110017, India. , Umran Rafeeq Sheikh1 , Kishalay Datta2 , Priya Govil3 , Deepika Mittal1

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Indian Journal of Emergency Medicine 3(2):p 308-310, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3217.30

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Abstract

Rhabdomyolysis is the breakdown of skeletal muscle which is found commonly associated with crush injuries, compartment syndromes, strenous exercise and drug abuse but rarely found due to consumption of medications like statins. Here we present a case of a 62 year old male who had presented to the emergency roomwith paraplegic, myalgia and hyperkalemia after about a month of being started on statins. Further clinical and laboratory evaluation were suggestive of a diagnosis of statin induced rhabdomyolysis causing acute renal failure and hyperkalemia. Awareness about the adverse effects of individual statins may help develop a clinical suspicion of rhabdomyolysis among the Emergency physician and also helpother physicians make better decisions in the choice of statin use and promote regular monitoring of CPK levels in preventing incidences of rhabdomyolysis.

Keywords: Rhabdomyolysis; Statins; Acute Renal Failure; Hyperkalemia; Paraplegia; Myalgia. 

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3217.30

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