Abstract
A case of acute renal failure due to rhabdomyolysis in a patient who used cocaine on a daily basis is presented. In contrast to many prior reports of renal failure occurring with cocaine-associated rhabdomyolysis, our patient did not use intravenous cocaine and did not have any evidence of trauma, seizure, hypotension, hyperthermia, hyperactivity, or coma. His creatine phosphokinase peaked at 448,000 U/liter. He was treated initially with forced diuresis and i.v. furosemide, but he became oliguric, developed pulmonary edema, and required hemodialysis. He recovered fully after 3 weeks of dialysis. The literature is reviewed in an attempt to delineate a rational approach to evaluating cocaine users at risk for rhabdomyolysis.
Original language | English (US) |
---|---|
Pages (from-to) | 833-837 |
Number of pages | 5 |
Journal | Journal of Emergency Medicine |
Volume | 15 |
Issue number | 6 |
DOIs | |
State | Published - Nov 1997 |
Keywords
- Cocaine
- Creatinine kinase
- Myoglobin
- Renal failure
- Rhabdomyolysis
ASJC Scopus subject areas
- Emergency Medicine