Case 251: Nontraumatic Drug-associated Rhabdomyolysis of Head and Neck Muscle tissues.
Radiology. 2018 Mar;286(three):1088-1092
Authors: Debelmas A, Benchetrit D, Galanaud D, Khonsari RH
Summary
Historical past A 21-year-old man with a historical past of abuse of a number of medicine and gentle cognitive impairment who initially underwent therapy for excited delirium developed respiratory arrest shortly after admission and was efficiently resuscitated. Unenhanced computed tomography (CT) of the pinnacle and neck and distinction material-enhanced CT of the chest, stomach, pelvis, and full backbone have been carried out shortly after the preliminary therapy. Head and neck magnetic resonance (MR) imaging was carried out 24 hours after admission. No different abnormalities have been famous. There have been no fractures, and there was no vascular damage within the head and neck area. The affected person had no exterior neck accidents, congestion, or petechiae suggesting neck compression. He had no historical past of persistent or recurrent ache or pores and skin rash. Urine testing was optimistic for cocaine, hashish, and methamphetamine. Serum creatine kinase stage was initially excessive (31 117 U/L [520 ?kat/L]; regular, 1000 U/L [16.7 ?kat/L]). Corrected calcium stage was 2.22 mmol/L, and ionized calcium stage was 1.09 mmol/L (decrease finish of the traditional vary). There was no acute renal failure on the preliminary part, however serum creatinine ranges reached 180 µmol/L 24 hours after admission, and creatine kinase peaked at 61 000 U/L [1019 ?kat/L]. Urine was initially crimson, however the affected person was not examined for myoglobinuria.
PMID: 29461948 [PubMed – in process]