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LETTER TO EDITOR
Year : 2015  |  Volume : 4  |  Issue : 1  |  Page : 155  

Hyperkalemia and rhabdomyolyssis


1 KMT Primary Care Center, Bangkok, Thailand
2 Visiting professor, Hainan Medical University, China

Date of Web Publication27-Feb-2015

Correspondence Address:
Sora Yasri
KMT Primary Care Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2249-4863.152281

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How to cite this article:
Yasri S, Wiwanitkit V. Hyperkalemia and rhabdomyolyssis. J Family Med Prim Care 2015;4:155

How to cite this URL:
Yasri S, Wiwanitkit V. Hyperkalemia and rhabdomyolyssis. J Family Med Prim Care [serial online] 2015 [cited 2019 Jul 19];4:155. Available from: http://www.jfmpc.com/text.asp?2015/4/1/155/152281

Dear Editor,

The problem of hyperkalemia is an important consideration in family medicine practice. The early detection of the problem means favorable outcome of management. Here, the authors report an interesting case of unexpected hyperkalemia and rhabdomyolyssis. The patient is a 54-years-old patient presented to the physician in charge with the complaint of fatigue, muscle pain, and abnormal cardiac rhythm. The patient was previously healthy without any personal illness. He gave the history of daily long exercise in the past week. This case was investigated and the important finding include 'serum CPK level = 760 mg/dL', 'serum K level = 5.8 mEq/L (repeated analysis, no hemolysis)', 'hemoglobinuria', and EKG showed 'peaked T wave'. This case is diagnosed to have a problem of hyperkalemia relating to rhabdomyolysis. This case was consulted to the specialist for management of the problem. In general, rhabdomyolysis can be a forgotten problem in general family practice. [1] It can be missed and simple managed as the myalgia. An important consideration is the fact that rhabodmyolysis can lead to several complications including hyperkalemia. [2],[3] The present case shows the hyperkalemia which needs proper management. Agrawal et al. noted that 'the vigilance required toward the occurrence of rhabdomyolysis, which if not detected promptly may prove fatal.' [4] It is suggested that the complete assessment should be given in any case with presentation of muscle pain accompanied with cardiac rhythmic compliant.

 
  References Top

1.
Zimmerman JL, Shen MC. Rhabdomyolysis. Chest 2013;144:1058-65.  Back to cited text no. 1
    
2.
Parekh R, Care DA, Tainter CR. Rhabdomyolysis: Advances in diagnosis and treatment. Emerg Med Pract 2012;14:1-15.  Back to cited text no. 2
    
3.
Mugmon M. Hyperkalemia and severe rhabdomyolysis. J Community Hosp Intern Med Perspect 2011;1. doi: 10.3402/jchimp.v1i3.8707.  Back to cited text no. 3
    
4.
Agrawal S, Agrawal V, Taneja A. Hypokalemia causing rhabdomyolysis resulting in life-threatening hyperkalemia. Pediatr Nephrol 2006;21:289-91.  Back to cited text no. 4
    




 

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