[Compartment syndrome in a young male caused by acute alcoholic rhabdomyolysis].
We report a case of young male who developed compartment syndrome of his left leg caused by rhabdomyolysis following a heavy binge of alcohol. The laboratory data on his admission revealed extremely elevated serum levels of CPK (108,021 IU.l-1). The serum levels of potassium and creatinine were within normal ranges. He also had myoglobinuria. He required fasciotomy after admission. Diuretics and a large volume of fluids were given to prevent the renal failure. His postoperative course was uneventful. The direct toxic effects of alcohol and the prolonged ischemia of his lower leg induced by acute alcoholic intoxication, are thought to have played a major role in the triggering of the acute rhabdomyolysis. Acute alcoholic rhabdomyolysis should be considered in any intoxicated patient who presents muscle tenderness and weakness. The early recognition and prompt treatment are essential to prevent serious complications.
Suzuki
Satomi
S
Department of Anesthesiology, Yamanashi Medical University, Yamanashi 409-3898.
Nonaka
Akihiko
A
Kumazawa
Teruo
T
D000328:Adult; D000435:Alcoholic Intoxication / Q000150:complications*; D003161:Compartment Syndromes / Q000209:etiology*; D006801:Humans; D008297:Male; D012206:Rhabdomyolysis / Q000150:complications*