Exertional rhabdomyolysis as a result of strenuous military training.
We reviewed biochemical data from 19 soldiers who marched intermittently over 4 weeks, carrying about 45 kg of kit, with a limited intake of food and water. The mean serum creatine kinase activity was higher after the march (p < 0.01), although the subjects did not develop symptomatic rhabdomyolysis. The mean serum potassium level (p < 0.005) and the mean serum sodium level (p < 0.05) were lower after the march. The level of serum osmolality showed no significant changes. Subclinical rhabdomyolysis was not rare among the soldiers. We also report a case of the soldier with exertional clinical rhabdomyolysis.
Department of Internal Medicine, National Hospital Nayoro, Japan.
H
H
Aizawa
K
K
Morita
H
H
Minami
N
N
Sasaki
K
K
Tobise
D000328:Adult; D003402:Creatine Kinase / Q000097:blood; D015444:Exercise / Q000502:physiology*; D006801:Humans; D008297:Male; D008889:Military Personnel; D009994:Osmolar Concentration; D010806:Physical Education and Training; D012206:Rhabdomyolysis / Q000097:blood / Q000209:etiology* / Q000503:physiopathology; D012964:Sodium / Q000097:blood
D012964:Sodium; D003402:Creatine Kinase