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Area of Science:

  • Medicine
  • Nephrology
  • Exercise Physiology

Background:

  • Rhabdomyolysis involves muscle breakdown, releasing cellular contents into circulation.
  • Exertional rhabdomyolysis can occur after intense physical activity.
  • Rare complications include compartment syndrome and renal failure, necessitating urgent intervention.

Observation:

  • A 35-year-old male presented with weakness, reduced urine output, and dark urine post-workout and fasting.
  • Clinical evaluation revealed rhabdomyolysis and acute kidney injury (AKI).

Findings:

  • The patient's condition rapidly deteriorated to complete renal shutdown.
  • Renal failure necessitated prolonged hospitalization and multiple dialysis sessions.

Implications:

  • This case highlights the severe potential of exertional rhabdomyolysis, even in young, healthy individuals.
  • Highlights the importance of prompt diagnosis and management of rhabdomyolysis and AKI.
  • Emphasizes the risks associated with extreme exercise combined with fasting.