Ledo Tucker, Patel Dhara, Tamaska Wayne, Espinosa James, Lucerna Alan
Emergency Medicine, Jefferson Health, Stratford, USA.
Cureus. 2025 May 22;17(5):e84608. doi: 10.7759/cureus.84608. eCollection 2025 May.
Here, we present the case of a 33-year-old man who presented to the emergency department (ED) with a complaint of severe muscle spasms of a 10-hour duration. He noted that he took a supplement which he purchased over the internet called , also known as horny goat weed, for the purpose of improving his mood and sense of energy and reducing his sense of anxiety. He started this supplement one month prior to ED presentation, coincident with the first episodes of muscle cramps. In the ED, he had elevations of his creatine kinase (CK) and creatinine and required hospital admission. His creatinine and CK elevations and muscle spasms improved during his hospital admission. He was discharged from the hospital with instructions to stop taking supplements. contains a wide variety of chemicals that vary somewhat by individual species. To our knowledge, this is the first specific case report of severe muscle spasms with associated elevations of CK and creatinine caused by use. This case reinforces the importance of asking a patient about all medications, including over-the-internet, over-the-counter, and herbal medications.
在此，我们报告一例33岁男性病例，该患者因持续10小时的严重肌肉痉挛前往急诊科就诊。他提到自己服用了一种在网上购买的名为[具体名称未给出]（也称为淫羊藿）的补充剂，目的是改善情绪、增强精力并减轻焦虑感。他在就诊前一个月开始服用这种补充剂，与此同时出现了首次肌肉痉挛发作。在急诊科，他的肌酸激酶（CK）和肌酐水平升高，需要住院治疗。住院期间，他的肌酐和CK升高以及肌肉痉挛情况有所改善。他出院时被嘱咐停止服用该补充剂。[具体名称未给出]含有多种化学成分，不同个体物种的成分略有差异。据我们所知，这是首例因服用[具体名称未给出]导致严重肌肉痉挛并伴有CK和肌酐升高的特定病例报告。该病例强化了询问患者所有药物（包括网上购买的、非处方的和草药药物）使用情况的重要性。
