利尿剂滥用导致低钾血症引起的横纹肌溶解症非典型表现：来自塞拉利昂的病例报告

Atypical presentation of rhabdomyolysis due to hypokalaemia induced by diuretics abuse: Case report from Sierra Leone.

作者信息

Berdaguer Ferrari Fernando Daniel, Jalloh Hassanatu Bashiru, Barrie Abdul Rahman, Mansaray Abdul Karim, Song Kyungah, Molina García Alexandra

机构信息

Médecins Sans Frontières.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2018 Nov 13;75(4):310-313. doi: 10.31053/1853.0605.v75.n4.20398.

DOI:10.31053/1853.0605.v75.n4.20398

PMID:30734712

Abstract

Rhabdomyolysis results from acute necrosis of skeletal muscle fibres and consequent leakage of muscle constituents into the circulation. Its association with anything different than trauma in the Emergency Room is not that frequent. We present the case of a 47-year-old male, hypertensive, that developed weakness and incapability to walk without help, finding on the blood biochemistry that he had developed a rhabdomyolysis due to hipokalemia after abusing of diuretics.

摘要

横纹肌溶解症是由骨骼肌纤维急性坏死以及肌肉成分随之漏入循环系统所致。在急诊室，它与创伤以外的任何情况的关联并不常见。我们报告一例47岁男性高血压患者的病例，该患者出现无力症状且无法独立行走，血液生化检查发现他因滥用利尿剂导致低钾血症后发生了横纹肌溶解症。