• Neuromuscul. Disord. · Jan 1991

    Case Reports

    Fatal rhabdomyolysis complicating general anaesthesia in a child with Becker muscular dystrophy.

    • A Bush and V Dubowitz.
    • Department of Paediatrics and Neonatal Medicine, Royal Postgraduate Medical School, London, U.K.
    • Neuromuscul. Disord. 1991 Jan 1;1(3):201-4.

    AbstractA 6-yr-old boy who presented with brown urine due to myoglobinuria and who was otherwise virtually asymptomatic was diagnosed as having Becker muscular dystrophy on the basis of a greatly elevated creatine kinase, muscle biopsy, dystrophin analysis, and a deletion of exons 3-7 in the dystrophin gene. Fifteen months later, during a general anaesthetic for dental treatment, he had a cardiac arrest associated with acute rhabdomyolysis, hyperkalaemia and hypocalcaemia. He died 4 days later. This case is reported to highlight this rare but potentially fatal complication of anaesthesia in muscular dystrophy, and to discuss possible ways of preventing such a catastrophe.

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