RT Journal Article
SR Electronic
T1 Asymptomatic Rhabdomyolysis Of Unknown Etiology
JF The Journal of the American Board of Family
                Practice
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 265
OP 269
DO 10.3122/jabfm.3.4.265
VO 3
IS 4
A1 Michael T Hagley
A1 James H. Sorrell
YR 1990
UL http://www.jabfm.org/content/3/4/265.abstract
AB A 7-year-old boy developed rhabdomyolysis with a peak creatine phosphokinase level of 261,400 IU/L after his appendectomy. These abnormalities occurred following a 2–3-day illness consisting of upper respiratory tract symptoms, fever, and abdominal pain mimicking acute appendicitis. At the time of operation, a normal appendix Was removed, and mesenteric lymphadenitis was noted. The myoglobinuria and elevation of creatine phosphokinase were transient, and the patient remained asymptomatic. We review various causes of right lower quadrant pain and rhabdomyolysis and address the roles of malignant hyperthermia and infectious agents. The possible cause of the phenomena observed in this patient is discussed.