Rabdomiólise induzida por esforço físico extremo: relato de caso

Abstract

This study presents a case of rhabdomyolysis in a trained patient, which occurred during a street running. Street running is one of the most practiced exercises today, with several events and the participation of hundreds of thousands of runners. Objective: Report the experience of extreme physical effort during a street race, describe the consequences of this effort on physiological parameters that are normally kept stable during physical efforts of high intensity and duration. Methods: The data were obtained from exams provided by the patient, who also provided a temporal description of the facts, from the training prior to the race until the post-hospital discharge period. Results: Rhabdomyolysis was characterized by the clinical picture of tachycardia (200 bpm), hyperthermia, need for oxygen support and tests, with acute kidney injury, increased urea (226 mg/dL), creatinine (17 mg/dL), creatine phosphokinase (CPK; 135,957 U/L) and potassium (7 mmol/L). The patient's clinical condition progressed well in the first few days with drug and hemodialysis therapy. Stabilization occurred after two weeks and the increase occurred on the 16th day. Conclusion: The diagnosis of rhabdomyolysis was well characterized and the patient responded well to therapy. One year after the acute phase, all parameters remained normal with the ability to practice all activities.