Literature DB >> 27965312

Hyponatraemia-induced rhabdomyolysis complicated by anuric acute kidney injury: a renal replacement conundrum.

Paul Secombe1,2, Chris Milne2.   

Abstract

Hyponatraemia-induced rhabdomyolysis is a rare, but reported phenomenon, particularly in patients with chronic schizophrenia on depot antipsychotics prone to psychogenic polydipsia. To the best of our knowledge, there are no reported cases of hyponatraemia-induced rhabdomyolysis complicated by oligo-anuric acute kidney injury (AKI) requiring continuous renal replacement therapy (CRRT). The initiation of CRRT is complicated in severe hyponatraemia, predominantly due to the need to avoid rapid changes in tonicity associated with rapid changes in sodium. We report a case of severe hyponatraemia (104 mmol/L) complicated by oligo-anuric rhabdomyolysis-induced AKI and our management of the renal prescription. 2016 BMJ Publishing Group Ltd.

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Mesh:

Year:  2016        PMID: 27965312      PMCID: PMC5174836          DOI: 10.1136/bcr-2016-218198

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN: 1757-790X


  19 in total

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Authors:  R E Cronin
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8.  Successful treatment of extreme hyponatremia in an anuric patient using continuous venovenous hemodialysis.

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10.  Recurrent rhabdomyolysis secondary to hyponatremia in a patient with primary psychogenic polydipsia.

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Journal:  Rev Bras Ter Intensiva       Date:  2015-03-01
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  2 in total

1.  Serum creatine kinase levels are not associated with an increased need for continuous renal replacement therapy in patients with acute kidney injury following rhabdomyolysis.

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2.  A suspected case of hyponatraemia induced rhabdomyolysis: a case report.

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  2 in total

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