Case Report: Rhabdomyolysis in Service Member Following SERE Physical Training
Abstract
Rhabdomyolysis, to state it simply, is a syndrome of the breakdown of muscle tissue and the release of toxins into the blood. The patient will often present with extreme muscle cramping and dehydration. This is further quantified by elevated creatine kinase and myoglobinuria on laboratory analysis. The spectrum of rhabdomyolysis is wide, including completely asymptomatic all the way to a severe and debilitating syndrome. The clinical presentation may include muscle pain, cramping, swelling, weakness, dark urine, electrolyte abnormalities, hypovolemia, and in severe cases potential compartment syndrome, disseminated intravascular coagulation and debilitating kidney injury. Rhabdomyolysis "develop[s] as a result of a physiological cascade of metabolic abnormalities that occurs when the body is no longer able to compensate for the demands placed upon it." (footnote 1)
Document Details
- Document Type
- Technical Report
- Publication Date
- Sep 19, 2017
- Accession Number
- AD1040831
Entities
People
- Andrew Wyatt
- Austin Flowers
- Dwaipayan Chakraborti
- Joseph H Marcus
- Matthew A. Pombo
Organizations
- 59th Medical Wing