Over a millon Creatine Kinase due to a heavy work-out: A case report

Area of Science:

• Sports Medicine
• Exercise Physiology
• Clinical Case Reports

Background:

• Exercise-induced rhabdomyolysis is a recognized condition linked to strenuous physical exertion.
• Previous reports detail cases associated with weight lifting, marathon running, and overexertion in untrained individuals.
• This condition involves the breakdown of muscle tissue, releasing damaging proteins into the bloodstream.

Purpose of the Study:

• To report a unique case of exercise-induced rhabdomyolysis.
• To highlight an exceptionally high creatine kinase level in the context of exercise-induced rhabdomyolysis.
• To present a successful treatment outcome using conservative measures.

Main Methods:

• Case study of a 25-year-old Hispanic male.
• Detailed medical history focusing on recent physical activity resumption.
• Biochemical analysis including creatine kinase level measurement.
• Treatment protocol involving aggressive hydration.

Main Results:

• The patient presented with exercise-induced rhabdomyolysis after resuming regular physical activity.
• Creatine kinase levels were recorded as the highest documented in the literature for this condition.
• The patient experienced a full recovery without any complications.
• Treatment primarily consisted of aggressive hydration therapy.

Conclusions:

• Resuming physical activity after a period of inactivity can precipitate severe rhabdomyolysis.
• Aggressive hydration is an effective and sufficient treatment for exercise-induced rhabdomyolysis in select cases.
• This case expands the understanding of the spectrum and management of exercise-induced rhabdomyolysis.