• J Emerg Med · Apr 2015

    Case Reports

    Hypokalemia Causing Rhabdomyolysis in a Patient with Short Bowel Syndrome.

    • Kamna S Balhara, Bridget Highet, and Rodney Omron.
    • Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
    • J Emerg Med. 2015 Apr 1;48(4):e97-9.

    BackgroundRhabdomyolysis, usually in the setting of trauma or drug use, is frequently seen in the emergency setting, and often leads to hyperkalemia at presentation. Hypokalemia, however, is a potentially underrecognized cause of rhabdomyolysis.Case ReportWe present a case of rhabdomyolysis likely due to hypokalemia in the setting of short bowel syndrome. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Although less common, hypokalemia can be a significant cause of rhabdomyolysis via its effects on muscle. This scenario should be considered in the differential diagnosis of patients at risk for hypokalemia who present with weakness. Rapid recognition of this relationship and rapid correction of hypokalemia may prove very important in preventing the deleterious effects of rhabdomyolysis.Copyright © 2015 Elsevier Inc. All rights reserved.

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