Open AccessMinor blunt injury-induced rhabdomyolysis from a road traffic accident in Nigeria
Author(s) -
Ernest Ndukaife Anyabolu,
Innocent Chukwuemeka Okoye,
Innocent Ijezie Chukwuonye,
Arthur Ebelenna Anyabolu,
Kenneth Chukwueloka Dike,
Chinyelu Uchenna Ufoaroh
Publication year - 2020
Publication title -
nigerian medical journal/nigerian medical journal
Language(s) - English
Resource type - Journals
eISSN - 2229-774X
pISSN - 0300-1652
DOI - 10.4103/nmj.nmj_114_19
Subject(s) - rhabdomyolysis , medicine , blunt , hemodialysis , dialysis , surgery , acute kidney injury , complication , anesthesia
Rhabdomyolysis, though not a common complication of minor blunt trauma, may result in life-threatening acute kidney injury (AKI). Here is illustrated a case of a young male who sustained minor blunt injuries in a road traffic accident, which he overlooked and presented with features of severe AKI. The patient is a 24-year-old male, who presented with progressive weakness, difficulty in walking, and features of uremia, 14 days after he sustained minor blunt injuries and lacerations in a road traffic accident. Evaluation showed elevated serum creatine kinase, serum myoglobin, and severe azotemia. He was commenced on hemodialysis. He was also commenced on antibiotics, analgesic, and 5% dextrose/saline. He had three sessions of hemodialysis on alternate days. His condition improved remarkably after the first session of dialysis. He was discharged after 18 days on admission. Follow-up in the clinic showed a normal renal function. This case report shows rhabdomyolysis from minor blunt injuries sustained in a road traffic accident and complicated by severe AKI. The patient almost recovered full renal function with management.