Clinical case of mechanical and non-mechanical rhabdomyolysis complicated by acute kidney injury. Case report

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Abstract

To date, the problem of rhabdomyolysis remains relevant in Russia. Despite the introduction of modern methods of diagnosis, prevention and treatment, mortality remains high, up to 40%, especially with the addition of acute kidney injury. This article presents a clinical case of rhabdomyolysis, which arose as a result of the combined effects of non-traumatic (toxic effects of methadone, alcohol) and traumatic (vibration and non-physiological position during sleep) factors. This syndrome eventually led to the development of acute kidney damage up to anuria. In this clinical case, intensive infusion and detoxification therapy, including hemodialysis procedures, was carried out, which led to an almost complete restoration of the functional state of the kidneys. Thus, early diagnosis of rhabdomyolysis and AKI based on anamnesis, timely laboratory and instrumental diagnosis can prevent severe kidney damage up to terminal uremia and fatal consequences.

About the authors

Evgeniy N. Ievlev

Izhevsk State Medical Academy

Email: inloja@mail.ru
ORCID iD: 0000-0002-0395-7946

Cand. Sci. (Med.)

Russian Federation, Izhevsk

Daria R. Bekhtereva

Izhevsk State Medical Academy

Email: behtereva2508@gmail.com
ORCID iD: 0009-0005-4208-9212

Student

Russian Federation, Izhevsk

Zukhra R. Khuzina

Izhevsk State Medical Academy

Author for correspondence.
Email: zuhra-huzina@mail.ru
ORCID iD: 0009-0008-7274-5235

Student

Russian Federation, Izhevsk

Edgar K. Chalgubaev

City Clinical Hospital №6

Email: edgar_chalgubaev@mail.ru
ORCID iD: 0009-0006-3386-2303

Department Head

Russian Federation, Izhevsk

Irina N. Chekmareva

City Clinical Hospital №6

Email: perfect.solomina@mail.ru
ORCID iD: 0009-0006-4367-4752

Nephrologist

Russian Federation, Izhevsk

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