Rhabdomyolysis induced by excessive coffee drinking.
Excessive ingestion of caffeine-containing beverages is a rare cause of rhabdomyolysis. Here, we describe the case of a 44-year-old woman presented with nausea, vomiting, palpitations, and tea-colored urine 6 h after drinking a liter of black coffee containing approximately 565 mg of caffeine for mental alertness. Laboratory studies were notable for myoglobinuria and markedly elevated plasma creatine kinase (CK) level of 7315 U/L. With volume expansion and alkalization, her plasma CK level returned to normal within 5 days. Rhabdomyolysis should be considered a potential health hazard from excessive consumption of caffeine-containing products.
Department of Medicine, Armed Forces Taoyuan General Hospital, Taoyuan, Taiwan Division of Nephrology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
W-F
WF
Chiang
Department of Pediatrics, Armed Forces Taoyuan General Hospital, Taoyuan, Taiwan.
M-T
MT
Liao
Division of Nephrology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
C-J
CJ
Cheng
Division of Nephrology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan l521116@gmail.com.
S-H
SH
Lin
D000328:Adult; D002110:Caffeine / Q000009:adverse effects*; D000697:Central Nervous System Stimulants / Q000009:adverse effects*; D003069:Coffee / Q000009:adverse effects*; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D012206:Rhabdomyolysis / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome
D000697:Central Nervous System Stimulants; D003069:Coffee; D002110:Caffeine
Caffeine; coffee; rhabdomyolysis