Santos Sara, Gomes Sara, Carvalho Inês, Bonito Inês, Carmo Célia
Internal Medicine, Centro Hospitalar Barreiro-Montijo, Barreiro, PRT.
Cureus. 2023 Jan 9;15(1):e33532. doi: 10.7759/cureus.33532. eCollection 2023 Jan.
Red yeast rice is made by fermenting white rice with the fungus . It has lipid-lowering effects due to the presence of monacolin, produced by the fungus, and therefore shares the same biological and side effects as a statin, namely it may cause rhabdomyolysis. In this clinical case study, we report the case of a 50-year-old woman suffering from a sudden onset of chest discomfort and generalized myalgia. Laboratory findings were consistent with the diagnosis of rhabdomyolysis. The patient had been recently diagnosed with dyslipidemia in primary care, and decided to start eating red yeast rice, without informing clinicians. Clinical improvement was rapidly noticed after hydration, and blood sample results returned to normal. Awareness should be raised for the regulation of these products, as their consumption is rising, and patients are unaware of their potential side effects.
红曲米是通过白米与真菌发酵制成的。由于真菌产生的莫纳可林，它具有降血脂作用，因此与他汀类药物具有相同的生物学特性和副作用，即可能导致横纹肌溶解。在本临床病例研究中，我们报告了一名50岁女性突发胸部不适和全身肌痛的病例。实验室检查结果与横纹肌溶解的诊断一致。该患者最近在初级保健中被诊断为血脂异常，并决定开始食用红曲米，且未告知临床医生。补液后病情迅速改善，血液样本结果恢复正常。应提高对这些产品监管的认识，因为它们的消费量在上升，而患者并未意识到其潜在的副作用。
