Nawaz Muhammad Y, Hamdani Raza, Siddiqui Mishal K, Patel Neel, Shah Khushmi, Langdon Lori
College of Osteopathic Medicine, Campbell University School of Osteopathic Medicine, Lillington, USA.
Pediatrics, Campbell University School of Osteopathic Medicine, Lillington, USA.
Cureus. 2024 Nov 10;16(11):e73381. doi: 10.7759/cureus.73381. eCollection 2024 Nov.
A 14-year-old African American female patient presented to the emergency department with moderate right calf pain of unknown origin. The pain was present for a couple of days without radiation and progressed with an inability to bear weight. Physical examination revealed tenderness to palpation over the right calf. The patient had no history of overweight, trauma, infection, or extreme physical exertion. She took no medications, supplements, herbals, or used any illegal drugs. Of note, the patient was sedentary. Her blood work revealed elevated creatine kinase and liver enzymes, diagnostic of rhabdomyolysis. All other diagnostic evaluations, including EKG, chest X-ray, leg ultrasound, creatine kinase-MB, urinalysis, thyroid levels, and CBC were unremarkable. No other inherited conditions were identified in lab work. The patient was given dextrose 5% in water with sodium bicarbonate and switched to aggressive hydration via normal saline until discharge.
一名14岁非裔美国女性患者因右小腿中度疼痛且病因不明就诊于急诊科。疼痛已持续数天，无放射痛，且逐渐加重至无法负重。体格检查发现右小腿触诊有压痛。该患者无超重、外伤、感染或过度体力活动史。她未服用任何药物、补充剂、草药，也未使用任何非法药物。值得注意的是，该患者久坐不动。她的血液检查显示肌酸激酶和肝酶升高，诊断为横纹肌溶解症。所有其他诊断评估，包括心电图、胸部X线、腿部超声、肌酸激酶同工酶、尿液分析、甲状腺功能指标和血常规均无异常。实验室检查未发现其他遗传性疾病。患者接受了5%葡萄糖加碳酸氢钠治疗，并改为通过生理盐水积极补液，直至出院。
