title: Rhabdomyolysis without detectable myoglobulinuria due to severe hypophosphatemia in diabetic ketoacidosis.
abstract: Clinical signs of hypophosphatemia, even when severe, are rare in diabetic ketoacidosis despite their high frequency in this condition. This article presents a patient with rhabdomyolysis due to severe hypophosphatemia, where the level of serum phosphorus was observed to be as low as 0.42 mg/dL on the 16th hour of ketoacidosis treatment. The patient developed acute tubular necrosis due to rhabdomyolysis, but there was no blood reaction in the urine, and the creatine kinase increased to 1200 U/L. The patient was treated without dialysis and was cured after a polyuria period of 2 months after the oliguric period.
authors.affiliation: Dr Sami Ulus Children's Hospital, Pediatric Endocrinology Clinic, Ankara, Turkey. alevkutlu64@yahoo.com.tr
authors.forename: Alev Oguz
authors.initials: AO
authors.lastname: Kutlu
authors.forename: Cengiz
authors.initials: C
authors.lastname: Kara
authors.forename: Semra
authors.initials: S
authors.lastname: Cetinkaya
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002648:Child; D003402:Creatine Kinase / Q000097:blood; D016883:Diabetic Ketoacidosis / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D017674:Hypophosphatemia / Q000097:blood / Q000150:complications* / Q000628:therapy; D008297:Male; D009212:Myoglobinuria; D010710:Phosphates / Q000097:blood*; D006435:Renal Dialysis; D012206:Rhabdomyolysis / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D012720:Severity of Illness Index
chemical_list: D010710:Phosphates; D003402:Creatine Kinase