title: [Two cases of alcoholics associated with rhabdomyolysis and acute renal failure].
abstract: Two cases of alcoholics associated with rhabdomyolysis and acute renal failure were reported. Case 1 was a 67-year-old male who had complained of general fatigue and generalized muscle pain. He had drunken and slept outdoor in winter until he was found. Laboratory data on admission showed remarkable elevation of muscle enzymes (AST, LDH, CPK) and serum levels of myoglobin, BUN, and Cr. He was treated with hemodialysis because of acute renal failure caused by rhabdomyolysis and recovered from renal failure. Case 2 was a 50-year-old male who had been unconscious and suffered from muscle weakness. He had drunken and slept in the bed for several days without eating any food until he was found by his sister. Laboratory data on admission showed remarkable elevation of muscle enzymes and serum levels of myoglobin, BUN, and Cr. It also showed hypoglycemia and hyponatremia. He developed into acute renal failure caused by rhabdomyolysis, but had a good clinical course without hemodialysis. The rhabdomyolysis of case 1 might have been caused by alcohol and sleeping outdoor in winter. That of case 2 might have been caused by alcohol and pressure necrosis due to immobility for several days in his bed.
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Internal Medicine, Jikei University School of Medicine, 3-25-8, Nishi-Shinbashi, Minato-ku, Tokyo 105-8461, Japan.
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Sakamoto
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Ohata
authors.forename: Kenichi
authors.initials: K
authors.lastname: Hashimoto
authors.forename: Sinichiro
authors.initials: S
authors.lastname: Uetake
authors.forename: Osamu
authors.initials: O
authors.lastname: Kawashima
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Takeda
authors.forename: Hisato
authors.initials: H
authors.lastname: Nakajima
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Yamauchi
authors.forename: Gotaro
authors.initials: G
authors.lastname: Toda
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Takao
authors.forename: Noritoshi
authors.initials: N
authors.lastname: Shingai
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D000368:Aged; D000437:Alcoholism / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012206:Rhabdomyolysis / Q000209:etiology*