[Nontraumatic rhabdomyolysis with reversible acute kidney failure following hyperosmolar diabetic coma in a child].
A 9 10/12 year year old girl developed severe hyperosmolar diabetic coma, and 5 days later acute renal failure. Extremely elevated levels of myoglobin were measured in serum and urine with a radioimmunoassay kit leading to the diagnosis of atraumatic rhabdomyolysis. Intermittent hemodialysis was performed for 2 weeks. Subsequently myoglobin and creatinine values in serum returned to normal. Psychological disturbances and paresis of the lower extremities subsided 4 resp. 12 weeks after the onset of acute illness.
D058186:Acute Kidney Injury / Q000209:etiology* / Q000628:therapy; D002648:Child; D003926:Diabetic Coma / Q000150:complications*; D005260:Female; D006801:Humans; D006944:Hyperglycemic Hyperosmolar Nonketotic Coma / Q000150:complications*; D007866:Leg; D019965:Neurocognitive Disorders / Q000209:etiology; D010243:Paralysis / Q000209:etiology; D006435:Renal Dialysis; D012206:Rhabdomyolysis / Q000209:etiology*
Atraumatische Rhabdomyolyse mit reversiblem akutem Nierenversagen nach hyperosmolarem diabetischem Koma beim Kind.