Cold exposure-induced rhabdomyolysis demonstrated by bone scintigraphy.
This report describes a case of acute renal failure due to rhabdomyolysis that developed after prolonged exposure to cold. A 47-year-old man visited a mountain during winter wearing only casual clothes and became lost at temperatures below freezing for 8 hours. Upon admission, the patient complained of a tingling sensation and numbness in the both upper and lower extremities with anuria. The serum blood urea nitrogen, creatinine, creatinine kinase, and myoglobin levels were elevated. Bone scintigraphy on the second day revealed increased activity in the superficial muscle groups in the abdomen, back, buttock, thighs, legs, and arms, which was compatible with rhabdomyolysis.
Lim
Seok Tae
ST
Department of Nuclear Medicine and the Research Institute of Clinical Medicine, Chonbuk National University Medical School, Jeonju, Jeonbuk, Korea.
Sohn
Myung-Hee
MH
Jeong
Hwan-Jeong
HJ
D003080:Cold Temperature / Q000009:adverse effects*; D006801:Humans; D007035:Hypothermia / Q000150:complications* / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D012206:Rhabdomyolysis / Q000000981:diagnostic imaging* / Q000209:etiology*; D013669:Technetium Tc 99m Medronate
D019275:Radiopharmaceuticals; D013669:Technetium Tc 99m Medronate