Rhabdomyolysis: pathogenesis, diagnosis, and treatment.

BACKGROUND Rhabdomyolysis is a complex medical condition involving the rapid dissolution of damaged or injured skeletal muscle. METHODS This review focuses on the epidemiology, pathophysiology, causes, presentation, diagnosis, complications, management, and anesthetic considerations related to rhabdomyolysis. RESULTS Any form of muscle damage--and by extension any entity that causes muscle damage--can initiate rhabdomyolysis. One of the most important treatment goals when rhabdomyolysis is suspected is avoiding acute kidney injury. CONCLUSION All clinicians should be aware of common causes, diagnosis, and treatment options.

[1]  J. Sprung,et al.  Anesthesia and Duchenne or Becker muscular dystrophy: review of 117 anesthetic exposures , 2013, Paediatric anaesthesia.

[2]  C. How,et al.  Cytochrome P450 drug interactions with statin therapy. , 2013, Singapore medical journal.

[3]  C. Mueller,et al.  Anaesthetic management in patients with Duchenne muscular dystrophy undergoing orthopaedic surgery: a review of 232 cases , 2012, European journal of anaesthesiology.

[4]  C. Cannon,et al.  The controversies of statin therapy: weighing the evidence. , 2012, Journal of the American College of Cardiology.

[5]  M. Hohenegger Drug induced rhabdomyolysis , 2012, Current opinion in pharmacology.

[6]  K. Kenney,et al.  Exertional Rhabdomyolysis: A Clinical Review With a Focus on Genetic Influences , 2012, Journal of clinical neuromuscular disease.

[7]  Ş. Eren,et al.  Quail consumption can be harmful. , 2011, The Journal of emergency medicine.

[8]  S. Czuczwar,et al.  Statin-induced myopathies , 2011, Pharmacological reports : PR.

[9]  E. Spatz,et al.  Statin myopathy: A common dilemma not reflected in clinical trials , 2011, Cleveland Clinic Journal of Medicine.

[10]  Z. Abassi,et al.  Early fluid resuscitation in patients with rhabdomyolysis , 2011, Nature Reviews Nephrology.

[11]  M. Zappitelli,et al.  Rhabdomyolysis: pathogenesis of renal injury and management , 2011, Pediatric Nephrology.

[12]  T. Kaneko,et al.  Peak value of blood myoglobin predicts acute renal failure induced by rhabdomyolysis. , 2010, Journal of critical care.

[13]  Lyell K. Jones,et al.  Natural history of exertional rhabdomyolysis: A population‐based analysis , 2010, Muscle & nerve.

[14]  G. Lippi,et al.  Rhabdomyolysis: historical background, clinical, diagnostic and therapeutic features , 2010, Clinical chemistry and laboratory medicine.

[15]  R. Reilly,et al.  Rhabdomyolysis: a review, with emphasis on the pediatric population , 2010, Pediatric Nephrology.

[16]  E. Poch,et al.  Rhabdomyolysis and acute kidney injury. , 2009, The New England journal of medicine.

[17]  J. Devlin,et al.  Incidence of propofol-related infusion syndrome in critically ill adults: a prospective, multicenter study , 2009, Critical care.

[18]  R. Hegele,et al.  Narrative Review: Statin-Related Myopathy , 2009, Annals of Internal Medicine.

[19]  Mythili Seetharaman,et al.  Viral Rhabdomyolysis , 2008, Southern medical journal.

[20]  A. Alshekhlee,et al.  Clinical perspectives of statin-induced rhabdomyolysis. , 2007, The American journal of medicine.

[21]  M. Burke,et al.  Propofol infusion syndrome , 2006, Forensic science, medicine, and pathology.

[22]  R. Mannix,et al.  Acute Pediatric Rhabdomyolysis: Causes and Rates of Renal Failure , 2006, Pediatrics.

[23]  M. Cziraky,et al.  Withdrawn: P68 , 2006 .

[24]  John A. Clark,et al.  Statin safety: an appraisal from the adverse event reporting system. , 2006, The American journal of cardiology.

[25]  Alicja R Rudnicka,et al.  Statin safety: a systematic review. , 2006, The American journal of cardiology.

[26]  J. Guyton Benefit versus risk in statin treatment. , 2006, The American journal of cardiology.

[27]  H. Bays Statin safety: an overview and assessment of the data--2005. , 2006, The American journal of cardiology.

[28]  Z. Ye,et al.  Rhabdomyolysis Following Recent Severe Coxsackie Virus Infection in Patient with Chronic Renal Failure: One Case Report and a Review of the Literature , 2006, Renal failure.

[29]  O. Kal,et al.  Rhabdomyolysis-induced acute renal failure associated with legionnaires’ disease , 2006, Scandinavian journal of urology and nephrology.

[30]  G. Melli,et al.  Rhabdomyolysis: An Evaluation of 475 Hospitalized Patients , 2005, Medicine.

[31]  A. Mantovani,et al.  Circulating levels of the long pentraxin PTX3, an acute phase mediator of innate immunity, in acute lung injury/acute respiratory distress syndrome: functional and prognostic correlations , 2005, Critical Care.

[32]  Terry A Jacobson,et al.  Comparative pharmacokinetic interaction profiles of pravastatin, simvastatin, and atorvastatin when coadministered with cytochrome P450 inhibitors. , 2004, The American journal of cardiology.

[33]  Joseph Varon,et al.  Bench-to-bedside review: Rhabdomyolysis – an overview for clinicians , 2004, Critical care.

[34]  W. Wong,et al.  RHABDOMYOLYSIS TRIGGERED BY CYTOMEGALOVIRUS INFECTION IN A HEART TRANSPLANT PATIENT ON CONCOMITANT CYCLOSPORINE AND ATORVASTATIN THERAPY , 2004, Journal of gastroenterology and hepatology.

[35]  D. Packer,et al.  Metabolic acidosis associated with propofol in the absence of other causative factors. , 2004, Anesthesiology.

[36]  Ronald C. Allison,et al.  The Other Medical Causes of Rhabdomyolysis , 2003, The American journal of the medical sciences.

[37]  M. Davidson Combination therapy for dyslipidemia: safety and regulatory considerations. , 2002, The American journal of cardiology.

[38]  S. Grundy,et al.  ACC/AHA/NHLBI Clinical Advisory on the Use and Safety of Statins. , 2002, Circulation.

[39]  J. Warren,et al.  Rhabdomyolysis: A review , 2002, Muscle & nerve.

[40]  Jennie Chang,et al.  Cerivastatin and reports of fatal rhabdomyolysis. , 2002, The New England journal of medicine.

[41]  T. Watanabe,et al.  Rhabdomyolysis and acute renal failure in children , 2001, Pediatric Nephrology.

[42]  I. Hamilton-Craig,et al.  Statin‐associated myopathy , 2001, The Medical journal of Australia.

[43]  F. Rodríguez,et al.  Rabdomiólisis en el curso de un shock tóxico estreptocócico , 2001 .

[44]  J. Seiler,et al.  Influenza A Induced Rhabdomyolysis Resulting in Extensive Compartment Syndrome , 2000, Clinical orthopaedics and related research.

[45]  C. McKay,et al.  Ketamine abusers presenting to the emergency department: a case series. , 2000, The Journal of emergency medicine.

[46]  F. Apple,et al.  Propofol-associated rhabdomyolysis with cardiac involvement in adults: chemical and anatomic findings. , 2000, Clinical chemistry.

[47]  M. Rieser,et al.  Lack of a Clinically Significant Pharmacokinetic Interaction between Fenofibrate and Pravastatin in Healthy Volunteers , 2000, Journal of clinical pharmacology.

[48]  P. Habibi,et al.  Short-term propofol infusions in children , 1999, The Lancet.

[49]  E. Rondeau,et al.  Acute renal failure in the course of HIV infection: a single-institution retrospective study of ninety-two patients and sixty renal biopsies. , 1999, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.

[50]  D. Maclennan,et al.  Malignant hyperthermia and central core disease: disorders of Ca2+ release channels. , 1998, The American journal of medicine.

[51]  P. Wathen,et al.  Primary varicella-zoster-induced rhabdomyolysis. , 1996, Southern medical journal.

[52]  S. Paskin,et al.  Probable succinylcholine-induced rhabdomyolysis in a male athlete. , 1995, Anesthesia and analgesia.

[53]  J. Brook,et al.  Rhabdomyolysis complicating acute Epstein-Barr virus infection , 1995, Infection.

[54]  R. Wanders,et al.  Rhabdomyolysis: a review of the literature , 1993, Clinical Neurology and Neurosurgery.

[55]  Wan Ariffin Bin Abdullah Singapore Med J , 1993 .

[56]  A. Knutsen,et al.  Rhabdomyolysis and lower extremity compartment syndrome due to influenza B virus. , 1993, Annals of plastic surgery.

[57]  D. C. Lewis,et al.  Coturnism: Human Poisoning By European Migratory Quail , 1987 .

[58]  P. Gabow,et al.  The Spectrum of Rhabdomyolysis , 1982, Medicine.

[59]  A. Hyman,et al.  Myoglobinemia after a single dose of succinylcholine. , 1972, The New England journal of medicine.

[60]  H. Giamarellou,et al.  Acute renal failure after a meal of quail. , 1971, Lancet.

[61]  E. Bywaters,et al.  Crush Injuries with Impairment of Renal Function , 1941, British medical journal.

[62]  Yiannis S. Chatzizisis,et al.  Risk Factors and Drug Interactions Predisposing to Statin-Induced Myopathy Implications for Risk Assessment , Prevention and Treatment , 2012 .

[63]  W. Bilker,et al.  Clinical importance of the drug interaction between statins and CYP3A4 inhibitors , 2010 .

[64]  A. Freire,et al.  Rhabdomyolysis in a patient with West Nile encephalitis and flaccid paralysis. , 2008, Tennessee medicine : journal of the Tennessee Medical Association.

[65]  T. Lerman-Sagie,et al.  Rhabdomyolysis , 2007, Internal and emergency medicine.

[66]  M. Davidson,et al.  Reporting rate of rhabdomyolysis with fenofibrate + statin versus gemfibrozil + any statin. , 2005, The American journal of cardiology.

[67]  D. H.OsamahM.,et al.  Rhabdomyolysis complicating acute Epstein-Barr virus infection , 2005, Infection.

[68]  H. Bagnulo,et al.  [Rhabdomyolysis during a case of streptococcal toxic shock syndrome]. , 2001, Enfermedades infecciosas y microbiologia clinica.

[69]  J. Egido Renal diseases. , 1996, Clinical science.

[70]  M. Brezis,et al.  Hazard of sauna use after strenuous exercise. , 1994, Annals of internal medicine.

[71]  N. Salomon,et al.  Special problems in treating tuberculosis. , 1994, Annals of internal medicine.

[72]  J. Smialek,et al.  Clinical spectrum of accidental hemlock poisoning: neurotoxic manifestations, rhabdomyolysis and acute tubular necrosis. , 1991, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.

[73]  L. Kadis,et al.  Anesthesia and Uncommon Diseases , 1990 .

[74]  H. Gurnaney,et al.  Section Editor: Peter J. Davis Malignant Hyperthermia and Muscular Dystrophies , 2022 .