title: Rhabdomyolysis in an adolescent with nonpurging bulimia nervosa.
abstract: A 14-year-old girl with a history of nonpurging bulimia nervosa (BN) was presented with muscular pain and weakness after several days of fasting and vigorous exercise. On hospital admission, the serum creatine kinase was 3,277 U/L and serum potassium was 2.5 mmol/L. The creatine kinase level reached a peak of 4,588 U/L before declining after intravenous hydration and correction of electrolytes. Renal function remained normal throughout hospitalization. Rhabdomyolysis has not been previously reported as a complication of BN in an adolescent or in nonpurging BN. Practitioners who treat patients with eating disorders, including BN, should be aware of rhabdomyolysis as a potential complication, because delay in treatment can lead to acute renal failure.
authors.affiliation: Charleston Division, West Virginia University, Charleston, West Virginia 25302, USA. ssondike@hsc.wvu.edu
authors.forename: Stephen B
authors.initials: SB
authors.lastname: Sondike
mesh_terms: D000293:Adolescent; D052018:Bulimia Nervosa / Q000150:complications*; D002400:Cathartics; D004038:Diet, Reducing; D005260:Female; D006801:Humans; D012206:Rhabdomyolysis / Q000209:etiology* / Q000503:physiopathology; D015431:Weight Loss
chemical_list: D002400:Cathartics