Abstract：
CASE REPORT:A 32-year-old African male presented with 10 hours of severe back pain. Initial computed tomography scan of the back showed no abnormality, and initial laboratory investigations were consistent with rhabdomyolysis. Despite stopping potential causative medications, aggressive intravenous hydration, and urine alkalinization, his creatinine kinase continued to steadily climb. Thirty-six hours after admission, a magnetic resonance imaging of his back was done because of new swelling over the right paraspinal muscles and loss of sensation in this region. Marked swelling of the right erector spinae muscles was observed, and right and left compartment pressure measurements were 108 and 21 mm Hg, respectively. He had urgent fasciotomy after which his rhabdomyolysis and pain recovered. CONCLUSION:Our case highlights the need for early consideration of compartment syndrome as a possible cause of back pain in the setting of rhabdomyolysis. Rhabdomyolysis can present in the absence of late complications such as neurological and vascular compromise.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Minnema BJ,Neligan PC,Quraishi NA,Fehlings MG,Prakash Sdoi
10.1007/s11606-008-0569-1subject
Has Abstractpub_date
2008-06-01 00:00:00pages
871-4issue
6eissn
0884-8734issn
1525-1497journal_volume
23pub_type
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