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Cocaine-Induced Rhabdomyolysis Causing Lumbosacral Plexopathy in an Adult Male
Yazeed G Sweedan1, Muhammad Haroon Khilan1, Ashish Jain1
1Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, USA.
Abstract:
A 48-year-old male presented three days after cocaine use with acute, rapid onset of bilateral lower extremity weakness, bilateral foot numbness, acute urinary retention, and significantly elevated creatinine kinase. Further testing revealed unusual symmetrical edema with contrast enhancement on MRI of the lower extremities. The patient was diagnosed with severe non-traumatic, non-exertional rhabdomyolysis causing lumbosacral plexopathy following cocaine use. The treatment was centered around aggressive fluid resuscitation and electrolyte replacement.
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