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Case ReportCase Report
Open Access

Hypokalemia-associated catastrophic rhabdomyolysis in ulcerative colitis

Plamen G. Tzvetanov
Saudi Medical Journal September 2009, 30 (9) 1225-1227;
Plamen G. Tzvetanov
Department of Neurology and Neurosurgery, University Hospital, G. Kochev St. 8A, 5800 Pleven, Bulgaria. Tel. +359 (64) 835242. Fax. +359 (94) 600530. E-mail: [email protected]
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Abstract

A case of catastrophic hypokalemia-associated rhabdomyolysis in patient with ulcerative colitis (UC) is reported. A 60-year-old man presented with an exacerbation of UC and hypokalemia due to long-term diarrhea. While in the hospital, rhabdomyolysis developed in association with worsening hypokalemia. The hypokalemia was refractory to treatment and progressive course. Patient developed painful cramps of the masticatory and facial musculature associated with a moderated weakness in distal muscle groups. The weakness extended to intercostals and diaphragm muscles and led to respiratory deficiency. Serum concentration of creatine kinase was highly increased. Patient died from advancing and insurmountable cardiovascular deficiency. The causative role of hypokalemia for muscle involvement and rhabdomyolysis in patients with inflammatory bowel diseases was discussed.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 30 (9)
Saudi Medical Journal
Vol. 30, Issue 9
1 Sep 2009
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Hypokalemia-associated catastrophic rhabdomyolysis in ulcerative colitis
Plamen G. Tzvetanov
Saudi Medical Journal Sep 2009, 30 (9) 1225-1227;

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Hypokalemia-associated catastrophic rhabdomyolysis in ulcerative colitis
Plamen G. Tzvetanov
Saudi Medical Journal Sep 2009, 30 (9) 1225-1227;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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