Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of Rhabdomyolysis Resulting from Shock Caused by Overworking

과로로 인한 쇼크 후 발생한 횡문근 융해증 1례

  • Kim, Sul Gi (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Wonkwang University) ;
  • Park, Sueng Hyuk (Department of Physiology, College of Korean Medicine, Wonkwang University) ;
  • Park, Ok Ju (Sosa-Public Health Center, Bucheon) ;
  • Cho, Nam Geun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Wonkwang University)
  • 김슬기 (원광대학교 한의과대학 침구의학과교실) ;
  • 박승혁 (원광대학교 한의과대학 생리학교실) ;
  • 박옥주 (부천시 소사보건소) ;
  • 조남근 (원광대학교 한의과대학 침구의학과교실)
  • Received : 2015.01.12
  • Accepted : 2015.03.06
  • Published : 2015.03.20
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The purpose of this study is to report a case of Rhabdomyolysis that occurred after shock related to overworking, presenting myalgia(especially in the neck), muscular weakness, and dark urine. Methods : A patient diagnosed with Rhabdomyolysis received Korean medical treatment from November $17_{th}$ to $24_{th}$. Clinical improvement was evaluated using a numerical rating scale(NRS), neck disability index(NDI), and laboratory tests which included complete blood count, kidney function, liver function, serum eletrolytes and Creatinine kinase(CK). Results : After treatment, myalgia, muscular weakness and dark urine each improved. Laboratory results, including CK, had decreased to within normal range. Conclusions : Korean medical treatment could be effective for Rhabdomyolysis patients. Further extensive studies should be carried out.

Keywords

References

  1. Zutt R, van der Kooi AJ, Linthorst GE, Wanders RJA, de Visser M. Rhabdomyolysis: review of the literature. 2014 ; 24(8) : 651-9. https://doi.org/10.1016/j.nmd.2014.05.005
  2. Kim KG, Kim JH, Kim SM et al. Clinical study of rhabdomyolysis developed after the training. Korean J Med. 2002 ; 63(6) : 675-81.
  3. Vanholder R, Sever MS, Erek E, Lamaeire N. Rhabdomyolysis. J Am Soc Nephrol. 2000 ; 11(8) : 1553-61.
  4. Bosch X, Poch E, Grau JM, Rhabdomyolysis and acute kidney injury. N Engl J Med. 2009 ; 361(1) : 62-72. https://doi.org/10.1056/NEJMra0801327
  5. Song KJ, Choi BW, Kim SJ, Yoon SJ. Crosscultural adaptation and validation of the Korean version of the neck disability index. J Korean Orthop Assoc. 2009 : 44(3) : 350-9. https://doi.org/10.4055/jkoa.2009.44.3.350
  6. Cervellin G, Comelli I, Lippi G. Rhabdomyolysis: historical background, clinical, diagnostic and therapeutic features. Clin Chem Lab Med. 2010 ; 48(6) : 749-56. https://doi.org/10.1515/CCLM.2010.151
  7. Gabow PA, Kaehny WD, Kelleher SP. The spectrum of rhabdomyolysis. Medicine. 1982 ; 61(3) : 141-52. https://doi.org/10.1097/00005792-198205000-00002
  8. Huerta-Alardín AL, Varon J, Marik PE. Benchto- bedside review: rhabdomyolysisan overview for clinicians. Critical Care. 2004 ; 9(2) : 158-69. https://doi.org/10.1186/cc2978
  9. Demos MA, Gitin EL, Kagen LJ. Exercise myoglobinemia and acute exertional rhabdomyolysis. Arch Intern Med. 1974 ; 134(4) : 669-73. https://doi.org/10.1001/archinte.1974.00320220071007
  10. Koskelo P, Kekki M, Wager O. Kinetic behavior of I-labelled myoglobin in human beings. Clin Chim Acta. 1967 ; 17(3) : 339-47. https://doi.org/10.1016/0009-8981(67)90207-0
  11. Bagley WH, Yang H, Shah KH. Rhabdomyolysis. Intern Emerg Med. 2007 ; 2(3) : 210–8. https://doi.org/10.1007/s11739-007-0060-8
  12. Kim HY, Choi SO, Shin SH et al. Analysis of 250 cases of rhabdomyolysis. Kidney Res Clin Pract. 1994 : 13(4) : 810-7.
  13. Kang SW, Kim YW, Kim YH. Analysis of nontraumatic rhabdomyolysis during recent 2 years. Korean J Med. 2004 ; 67(5) : 467-74.
  14. Sauret JM, Marinides G, Wang GK. Rhabdomyolysis. Am Fam Physician. 2002 ; 65(5) : 907-12.
  15. Ron D, Taitelman U, Michaelson M, Bar-Joseph G, Bursztein S, Better OS. Prevention of acute renal failure in traumatic rhabdomyolysis. Arch Intern Med. 1984 ; 144(2) : 277-80. https://doi.org/10.1001/archinte.1984.00350140077012
  16. Jung TS, Kang SS, Choi WC. Clinical study on 1 case of both lower limbs weakness patient diagnosed Wei symptom. Korean J Oriental Physiology & Pathology. 2012 ; 26(5) : 784-7.
  17. Baik YS. A study on Wi syndrome(痿證) in Hwangjenaegyeong( 黃帝內經). Wiron(痿論). J Korean Medical Classics. 2014 ; 27(3) : 1-10. https://doi.org/10.14369/SKMC.2014.27.3.001
  18. Korean Acupuncture & Moxibustion Medicine Society. Acupuncture and Moxibustion Medicine. Gyeonggi : Jipmoondang. 2012 : 637-8.