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A Unique Case of a Mildly Symptomatic Patient With Severe Hypokalemia Secondary to Furosemide.
J Investig Med High Impact Case Rep
November 2024
Kern Medical-UCLA, Bakersfield, CA, USA.
Article Synopsis
- - Hypokalemia is a common issue typically seen as mild with no symptoms, but moderate-to-severe cases can lead to serious health problems.
- - Severe hypokalemia (potassium level of 2.5 mEq/L or lower) can cause symptoms like muscle cramps, weakness, and severe complications, including renal and respiratory failure.
- - The text presents a case of a patient with extremely low potassium levels (1.4 mEq/L) due to furosemide use, who only reports muscle spasms despite the severity of their condition.
Carnitine Palmitoyltransferase II (CPT2) Deficiency: An Overlooked and Elusive Cause of Acute Kidney Injury.
Cureus
September 2024
Department of Nephrology, University Hospital Center "Mother Teresa", Tirana, ALB.
Carnitine palmitoyltransferase II (CPT2) deficiency is a rare inherited disorder affecting fatty acid metabolism. This enzymatic defect presents with a broad clinical spectrum, from severe neonatal forms that can be fatal, to milder myopathic variants characterized by myalgia and recurrent myoglobinuria in adolescence and adulthood. Herein, we report the case of a male patient who developed exertional rhabdomyolysis and acute kidney injury due to CPT2 deficiency.
View Article and Find Full Text PDFArticle Synopsis
- * The patient, with a history of chronic kidney disease and on various medications, initially arrived at the hospital after experiencing difficulties walking and swelling.
- * Treatment involved intravenous fluids and albumin, resulting in improved kidney function, highlighting the importance of monitoring CK levels in asymptomatic COVID-19 patients, especially those with certain risk factors.
McArdle's Disease: A Differential Diagnosis of Metabolic Myopathies.
Cureus
September 2024
Internal Medicine, Unidade Local de Saúde do Algarve, Unidade Hospitalar de Portimão, Portimão, PRT.
Article Synopsis
- Symptoms usually appear in late adolescence or early adulthood, leading to issues like rhabdomyolysis and elevated creatine kinase, with diagnosis confirmed through genetic testing.
- Treatment involves a diet of slow-absorbing carbohydrates, regular low-intensity exercise, and potentially vitamin B6 and creatine, with a generally favorable prognosis if managed properly, but patients should avoid vigorous exercise to prevent complications.
Rhabdomyolysis in a Case of Mild Coronavirus Disease 2019 and β-Thalassemia Minor.
J Assoc Physicians India
September 2024
Consultant, Department of Nephrology, Manipal Hospitals, Bengaluru, Karnataka, India.
Article Synopsis
- The COVID-19 virus primarily affects the respiratory system, but it can also lead to rare complications like rhabdomyolysis, particularly in cases with mild symptoms.
- Serum creatine phosphokinase (CPK) testing is useful for diagnosing rhabdomyolysis in COVID-19 patients exhibiting musculoskeletal symptoms to prevent severe complications like acute kidney injury.
- A young male with β-thalassemia minor tested positive for COVID-19 and, after showing symptoms like muscle pain and cola-colored urine, was diagnosed with rhabdomyolysis and successfully treated in the hospital.
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