Anyabolu Ernest Ndukaife, Okoye Innocent Chukwuemeka, Chukwuonye Innocent Ijezie, Anyabolu Arthur Ebelenna, Dike Kenneth Chukwueloka, Ufoaroh Chinyelu Uchenna
Department of Medicine, Chukwuemeka Odumegwu Ojukwu University, Awka, Nigeria.
Department of Medicine, Federal Medical Center, Umuahia, Nigeria.
Niger Med J. 2020 Mar-Apr;61(2):102-105. doi: 10.4103/nmj.NMJ_114_19. Epub 2020 May 7.
Rhabdomyolysis, though not a common complication of minor blunt trauma, may result in life-threatening acute kidney injury (AKI). Here is illustrated a case of a young male who sustained minor blunt injuries in a road traffic accident, which he overlooked and presented with features of severe AKI. The patient is a 24-year-old male, who presented with progressive weakness, difficulty in walking, and features of uremia, 14 days after he sustained minor blunt injuries and lacerations in a road traffic accident. Evaluation showed elevated serum creatine kinase, serum myoglobin, and severe azotemia. He was commenced on hemodialysis. He was also commenced on antibiotics, analgesic, and 5% dextrose/saline. He had three sessions of hemodialysis on alternate days. His condition improved remarkably after the first session of dialysis. He was discharged after 18 days on admission. Follow-up in the clinic showed a normal renal function. This case report shows rhabdomyolysis from minor blunt injuries sustained in a road traffic accident and complicated by severe AKI. The patient almost recovered full renal function with management.
横纹肌溶解症虽不是轻微钝性创伤的常见并发症,但可能导致危及生命的急性肾损伤(AKI)。本文介绍了一例年轻男性病例,他在道路交通事故中受到轻微钝性损伤,起初未在意,后来出现了严重急性肾损伤的症状。该患者为24岁男性,在道路交通事故中受到轻微钝性损伤和撕裂伤14天后,出现进行性肌无力、行走困难及尿毒症症状。检查显示血清肌酸激酶、血清肌红蛋白升高,并有严重氮质血症。开始对其进行血液透析治疗。同时开始使用抗生素、镇痛药及5%葡萄糖/生理盐水。他每隔一天进行三次血液透析治疗。首次透析治疗后,他的病情明显改善。入院18天后出院。门诊随访显示肾功能正常。本病例报告展示了道路交通事故中轻微钝性损伤导致横纹肌溶解症,并并发严重急性肾损伤的情况。经治疗,该患者几乎完全恢复了肾功能。