Honda Sakiko, Kawasaki Tatsuya, Kamitani Tadaaki, Kiyota Keisuke
Department of Cardiology, Matsushita Memorial Hospital, Japan.
Kiyota Clinic, Japan.
Intern Med. 2017;56(10):1175-1178. doi: 10.2169/internalmedicine.56.7636. Epub 2017 May 15.
Rhabdomyolysis, which is a characteristic occurrence in associated with muscle cell necrosis, develops due to various causes. We herein report a rare case of a patient with rhabdomyolysis after high intensity resistance training, in which markedly elevated levels of serum creatine kinase (CK) and urine myoglobin were observed. A previously healthy 37-year-old man presented with severe myalgia and dark urine after performing high-intensity exercise. The patient's serum CK level was 95,100 U/L and his urine myoglobin level was 160,000 ng/mL. His symptoms and laboratory findings gradually improved with the intravenous administration of saline and no complications (including electrolyte imbalance and acute renal failure) developed.
横纹肌溶解症是一种与肌肉细胞坏死相关的典型病症,由多种原因引发。我们在此报告一例高强度抗阻训练后发生横纹肌溶解症的罕见病例,该病例中观察到血清肌酸激酶(CK)和尿肌红蛋白水平显著升高。一名既往健康的37岁男性在进行高强度运动后出现严重肌痛和深色尿液。患者血清CK水平为95,100 U/L,尿肌红蛋白水平为160,000 ng/mL。经静脉输注生理盐水后,其症状和实验室检查结果逐渐改善,且未出现并发症(包括电解质失衡和急性肾衰竭)。