Tibana Ramires Alsamir, Sousa Nuno Manuel Frade de, Cunha Gabriel Veloso, Prestes Jonato, Navalta James W, Voltarelli Fabricio Azevedo
Department of Physical Education, Universidade Federal de Mato Grosso (UFMT), Cuiabá 78000-000, Brazil.
Graduation Program on Physical Education, Catholic University of Brasilia, Brasilia 72000-000, Brazil.
Sports (Basel). 2018 Apr 26;6(2):40. doi: 10.3390/sports6020040.
This case report describes an instance of exercise-induced rhabdomyolysis caused by an extreme conditioning program (ECP) competition. A 35-year-old female presented with abdominal pain and soreness, which began one day after she completed two days of ECPcompetition composed of five workouts. Three days after competition, creatine kinase (CK) was 77,590 U/L accompanied by myalgia and abnormal liver function tests, while renal function was normal and this resulted in a diagnosis of rhabdomyolysis. A follow-up examination revealed that her serum level of CK was still elevated to 3034 U/L on day 10 and 1257 U/L on day 25 following the ECP competition. The subject reported myalgia even up to 25 days after the ECP competition. Exertional rhabdomyolysis can be observed in ECP athletes following competition and highlights a dangerous condition, which may be increasing in recent years due to the massive expansion of ECP popularity and a growing number of competitions. Future research should investigate the causes of rhabdomyolysis that occur as a result of ECP, especially training methods and/or tasks developed specifically for these competitions.
本病例报告描述了一例因极限体能训练计划（ECP）竞赛导致的运动性横纹肌溶解症。一名35岁女性在完成了由五次训练组成的为期两天的ECP竞赛一天后，出现腹痛和酸痛症状。竞赛三天后，肌酸激酶（CK）为77,590 U/L，伴有肌痛和肝功能检查异常，而肾功能正常，由此诊断为横纹肌溶解症。随访检查发现，在ECP竞赛后的第10天，她的血清CK水平仍升至3034 U/L，第25天为1257 U/L。该受试者甚至在ECP竞赛后25天仍报告有肌痛。在ECP运动员竞赛后可观察到运动性横纹肌溶解症，这凸显了一种危险状况，近年来由于ECP的广泛普及和竞赛数量的增加，这种状况可能正在增多。未来的研究应调查因ECP导致横纹肌溶解症的原因，特别是专门为这些竞赛制定的训练方法和/或任务。
