Naqvi R, Akhtar F, Yazdani I, Hafiz S, Zafar N, Naqvi A, Rizvi A
Sindh Institute of Urology and Transplantation, Dow Medical College, Karachi.
J Pak Med Assoc. 1995 Mar;45(3):59-61.
Trauma and non-traumatic insults can cause muscle damage to such an extent that serious sequelae to other organs may result. Myoglobinuria and subsequent acute renal failure (ARF) is a well known and widely studied fact of such sequelae. Twelve cases of ARF (between 1990-1993) who have developed renal dysfunction after prolonged muscular exercise e.g., squat jumping, sit-ups and blunt trauma from sticks or leather belts mainly given by law enforcing personnel for certain issues were studied. None of them had previous history of myopathy, neuropathy or renal disease. All were critically ill on presentation and required renal support in the form of dialysis. Although morbidity was high in all, eleven of them recovered and one expired due to sepsis.
