Scientific letters

More than myalgia: An unusual presentation of exertional rhabdomyolysis

Matthew O.A. Benedict, Anthonio O. Adefuye
South African Family Practice | Vol 63, No 1 : Part 1| a5194 | DOI: https://doi.org/10.4102/safp.v63i1.5194 | © 2021 Matthew O.A Benedict, Anthonio O. Adefuye | This work is licensed under CC Attribution 4.0
Submitted: 15 July 2020 | Published: 13 January 2021

About the author(s)

Matthew O.A. Benedict, Department of Family Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
Anthonio O. Adefuye, Division of Health Sciences Education, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa


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Abstract

Exertional or exercise-induced rhabdomyolysis (ER) is a condition in which excessive and unaccustomed physical activity results in skeletal muscle damage. The ER is a relatively uncommon condition but can have very serious consequences such as acute renal failure, severe electrolyte abnormalities, acid base disturbances and death if not recognised and managed appropriately. The risk factors for rhabdomyolysis exist in our local setting, hence, it is paramount that healthcare practitioners (GPs) in our settings be made aware of ER, its prevention and symptoms. Cases of ER are often reported in sports men or women. Here, we report a case of a 33-year-old healthy female, with clinical and serological presentation, which is typical of ER following the commencement of a regimen of exercise to lose weight.

Keywords

rhabdomyolysis; exertional rhabdomyolysis; myalgia; physical activity; skeletal muscle damage

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