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Rhabdomyolysis-induced Acute Renal Failure in a Child

Journal of the Korean Pediatric Society 1998;41(5):707-710.
Published online May 15, 1998.
Rhabdomyolysis-induced Acute Renal Failure in a Child
Weon Sang Yun, Keun Mo Ki, Byung Ju Kim, Jae Sook Ma
Dpartment of Pediatrics, Chonnam University Medical School, Kwangju, Korea
외상후 발생한 횡문근 융해증에 의해 초래된 급성신부전 1례
윤원상, 김근모, 김병주, 마재숙
전남대학교 의과대학 소아과학교실
Weon Sang Yun, Email: 1
Rhabdomyolysis has been reported as a cause of acute renal failure(ARF), and it can arise from traumatic and variable non-traumatic events. Rhabdomyolysis-induced ARF is very rare in children. We experienced a case of rhabdomyolysis-induced ARF in a 14-year-old boy who presented with generalized edema and oliguria following trauma, a compressed thigh by a cultivator. Laboratory tests showed marked elevation of muscle enzymes(aspatate aminotransferase, creatine kinase and lactate dehydrogenase), increased serum and urine myoglobin, and other laboratory abnormalities showing ARF. Ten days after continuous arteriovenous hemofiltration using catheterization of the femoral artery and vein, the daily urine output gradually increased and he recoverd. We report this case with brief review of literature.
Key Words: Rhabdomyolysis, Acute renal failure, Child

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