Acute Muscle Pain in an Adolescent Athlete.
An 18-year-old female athlete presented with severe, incapacitating pain in both thighs, inability to walk, loss of bladder control, and brown urine following a strenuous soccer practice 3 days earlier. Physical examination revealed exquisite tenderness in each quadriceps, and her urine was positive for blood, protein, and myoglobin. Upon hospital admission, extracorporeal hemodyalisis was carried out every other day for 3 weeks and her renal function gradually returned to normal. Enzyme assays of a muscle biopsy eventually revealed a type 2 carnitine palmitoyltransferase deficiency (CPTD 2).
Faigel
HC
Director of University Health Services, Brandeis University, Brandeis University Health Services, Waltham, MA 02254-9110, USA.