title: [Rhabdomyolysis in a bodybuilder using steroids].
abstract: A 34-year-old bodybuilder presented at the emergency room with fever, vomiting and muscle cramps that had started during a bodybuilding session. Several days before he started training he had used tablets and intramuscular injections containing the anabolic steroids: dehydro-chloro-methyltestosterone, boldenone and trenbolone. In addition, he had taken clenbuterol tablets, liothyronine tablets and subcutaneous injections of phosphatidylcholine. Laboratory investigations revealed massive rhabdomyolysis. The patient was treated with intravenous fluid replacement and sodium bicarbonate to alkalinize the urine. He recovered quickly and his renal function remained unaffected. 'Doping' among amateur athletes in the Netherlands occurs frequently. Apart from long term side-effects, doping can also cause acute health problems. Therefore it is important to ask about doping use during history taking in amateur athletes.
authors.affiliation: Onze Lieve Vrouwe Gasthuis, afd. Interne Geneeskunde, Amsterdam. j.m.a.daniels@olvg.nl
authors.forename: J M A
authors.initials: JM
authors.lastname: Daniels
authors.forename: D J
authors.initials: DJ
authors.lastname: van Westerloo
authors.forename: O M
authors.initials: OM
authors.lastname: de Hon
authors.forename: P H J
authors.initials: PH
authors.lastname: Frissen
mesh_terms: D000328:Adult; D045930:Anabolic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009132:Muscles / Q000187:drug effects / Q000473:pathology; D012206:Rhabdomyolysis / Q000139:chemically induced* / Q000473:pathology; D014891:Weight Lifting
chemical_list: D045930:Anabolic Agents