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Exercise-induced rhabdomyolysis with acute kidney injury complicated by posterior reversible encephalopathy syndrome: a case report

  • Kim, Su Min (Departments of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Lee, Yoo Jin (Departments of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Heo, Chang Min (Departments of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Park, Si Hyung (Departments of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Park, Kang Min (Departments of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Ko, Jung Hae (Departments of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Park, Bong Soo (Departments of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Yang Wook (Departments of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine)
  • Received : 2022.07.20
  • Accepted : 2022.09.14
  • Published : 2022.10.30

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a rare condition manifested by inflammation in certain areas of the brain. Rhabdomyolysis with acute kidney injury (AKI) complicated by PRES is rarely reported. A 26-year-old female presented with neurological symptoms, high blood pressure, and AKI. Her symptoms improved with blood pressure control, anticonvulsant drug medications, and renal replacement therapy. This case demonstrates that PRES should be considered in the differential diagnosis of patients who have rhabdomyolysis with AKI accompanied by neurological symptoms, including headaches and convulsions.

Keywords

Acknowledgement

Our research protocol received the Institutional Review Board (IRB) approval and was compliant with the Helsinki Declaration (IRB file number: 2019-08-026-004).

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