Hyperbaric oxygen as an adjunctive therapy for bilateral compartment syndrome, rhabdomyolysis and acute renal failure after heroin intake.

Abstract:

:Heroin abuse causes various medical and surgical complications. We report a case of heroin-induced severe bilateral compartment syndrome complicated by rhabdomyolysis, acute renal failure and extremely elevated creatinine kinase. A 30-year-old male heroin addict presented to the emergency department of Mount Vernon Hospital, Mount Vernon, New York complaining of severe pain and burning sensation in both legs and feet 1 day after abusing intravenous heroin. He had severe swelling and tenderness of both legs and feet. Laboratory data revealed tremendous elevation of creatine kinase (236,000 IU/L) consistent with rhabdomyolysis. Acute renal failure developed over subsequent days. Treatment consisted of fasciotomy, hyperbaric oxygen therapy (HBO2) and supportive therapy. The condition gradually improved over 4 weeks and the patient did not require dialysis or amputation.

journal_name

Arch Med Res

authors

Abdullah MS,Al-Waili NS,Butler G,Baban NK

doi

10.1016/j.arcmed.2005.07.013

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

559-62

issue

4

eissn

0188-4409

issn

1873-5487

pii

S0188-4409(05)00336-X

journal_volume

37

pub_type

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