title: A potentially life-threatening complication of university orientation activities.
abstract: BACKGROUND
  This case report describes a university student who participated in an orientation activity and developed exertional rhabdomyolysis.
  
  
  METHODS
  With prompt intravenous volume expansion started in the accident and emergency department, he made an uneventful recovery despite a marked elevation of creatine kinase. The riskfactors of developing exertional rhabdomyolysis were reviewed. Suggestions based on these risk factors were made to the organizers of such orientation programmes.
  
  
  RESULTS
  He was discharged on day 6. On follow-up on day 8 after presentation at theaccident and emergency department, the CK level was 46 000 U/L and it fell to 2600 U/L in another 2 weeks. On follow-up 3 weeks after the incident, he remained well without symptoms.
  
  
  CONCLUSIONS
  For the clinicians, once rhadbomyolysis is suspected or diagnosed, intravenous fluid therapy with a crystalloid should be initiated as soon as possible to prevent the occurrence of acute renal faiure.
authors.affiliation: Accident & Emergency Department, Queen Mary Hospital, Pokfulam, Hong Kong, China.
authors.forename: Ling Pong
authors.initials: LP
authors.lastname: Leung
keywords: Acute renal faiure; Rhadbomyolysis