title: A Case of Paraspinal Muscle Rhabdomyolysis in a 22-Year-Old Male After Ingesting a Supplement Containing Higenamine.
abstract: Rhabdomyolysis is a painful and potentially life-threatening injury in which muscle breaks down in response to an insult. In this case report, we describe the clinical course of a 22-year-old man who developed paraspinal muscle rhabdomyolysis and possible compartment syndrome in association with strenuous activity and the ingestion of an exercise supplement containing the stimulant higenamine. Although he did not experience any renal damage, he did experience a high level of pain acutely and for the next 4 months. A history of exercise supplement intake should increase the index of suspicion for rhabdomyolysis when a patient presents with moderate to severe muscle pain, even if the muscle group is not in a classic location for rhabdomyolysis.
authors.affiliation: Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Jeter
authors.affiliation: Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814.
authors.forename: Kent J
authors.initials: KJ
authors.lastname: DeZee
authors.affiliation: Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814.
authors.forename: Laura
authors.initials: L
authors.lastname: Kennedy
mesh_terms: D000284:Administration, Oral; D000470:Alkaloids / Q000008:administration & dosage / Q000009:adverse effects*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000009:adverse effects; D019587:Dietary Supplements / Q000009:adverse effects*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D064170:Paraspinal Muscles / Q000187:drug effects / Q000473:pathology*; D012206:Rhabdomyolysis / Q000139:chemically induced* / Q000175:diagnosis; D044005:Tetrahydroisoquinolines / Q000008:administration & dosage / Q000009:adverse effects*; D055815:Young Adult
chemical_list: D000470:Alkaloids; D000894:Anti-Inflammatory Agents, Non-Steroidal; D044005:Tetrahydroisoquinolines; C012348:higenamine