Nontraumatic rhabdomyolysis with reversible acute kidney failure following hyperosmolar diabetic coma in a child
Pistor, K.; Graben, N.; Heber, F.; Kreuzfelder, E.; Bartholomé, K.
Monatsschrift Kinderheilkunde Organ der Deutschen Gesellschaft für Kinderheilkunde 132(1): 51-54
1984
ISSN/ISBN: 0026-9298 PMID: 6700602 Document Number: 232498
A 9 10/12 year year old girl developed severe hyperosmolar diabetic coma, and 5 days later acute renal failure. Extremely elevated levels of myoglobin were measured in serum and urine with a radioimmunoassay kit leading to the diagnosis of atraumatic rhabdomyolysis. Intermittent hemodialysis was performed for 2 weeks. Subsequently myoglobin and creatinine values in serum returned to normal. Psychological disturbances and paresis of the lower extremities subsided 4 resp. 12 weeks after the onset of acute illness.