Rhabdomyolysis and acute renal failure in a sickle cell trait athlete: a case study.
This case study reports the clinical details and pathologic mechanisms of a nonfatal case of rhabdomyolysis secondary to heat exhaustion and sickle cell trait (SCT) resulting in acute renal failure. A 19-year-old African American male college football player collapsed after running 5 intervals of 300 m during a preseason conditioning test. After 17 days of treatment, the athlete was released from the hospital to a short-term noncritical care facility for further treatment and dialysis. Scientific literature reports that at least 15 college football players with SCT have died as a result of a sickling crisis after intense physical exertion. This case study presents the clinical importance of prompt medical treatment and sustained low-efficiency dialysis in treating rhabdomyolysis and its sequelae after collapse in an SCT athlete.
Department of Health, Human Performance and Recreation, School of Education, Baylor University, Waco, Texas 76798-7304, USA
Brian D
BD
Shelmadine
Austin
A
Baltensperger
Ronald L
RL
Wilson
Rodney G
RG
Bowden
D058186:Acute Kidney Injury / Q000209:etiology*; D005538:Football; D006359:Heat Exhaustion / Q000150:complications*; D006801:Humans; D008297:Male; D005082:Physical Exertion; D012206:Rhabdomyolysis / Q000097:blood / Q000209:etiology*; D012805:Sickle Cell Trait / Q000150:complications*; D016896:Treatment Outcome; D055815:Young Adult