Severe Rhabdomyolysis due to Malignant Hyperthermia during Renal Transplantation Procedure Can Cause Delayed Graft Function

A case of rhabdomyolysis from malignant hyperthermia occurred during renal transplantation surgery is presented. After the completion of vascular and uretherovesical anostomosis, the patient’s heart rate began to rise, sweatiness was observed and body temperature increased to 41°C. Additionally, met...

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Veröffentlicht in:American journal of nephrology 2002-01, Vol.22 (1), p.81-83
Hauptverfasser: Caglar, Kayser, Orhan, Mehmet Emin, Gulec, Bulent, Yavuz, Izzet, Yenicesu, Mujdat, Guzeldemir, Erdal, Vural, Abdulgaffar
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container_issue 1
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container_title American journal of nephrology
container_volume 22
creator Caglar, Kayser
Orhan, Mehmet Emin
Gulec, Bulent
Yavuz, Izzet
Yenicesu, Mujdat
Guzeldemir, Erdal
Vural, Abdulgaffar
description A case of rhabdomyolysis from malignant hyperthermia occurred during renal transplantation surgery is presented. After the completion of vascular and uretherovesical anostomosis, the patient’s heart rate began to rise, sweatiness was observed and body temperature increased to 41°C. Additionally, metabolic and respiratory acidosis and hyperkalemia were detected. Serum creatine kinase and lactic dehydrogenase levels were increased significantly. After external cooling and the administration of dantrolene sodium, body temperature and heart rate were decreased. During this period; furosemide, mannitol and sodium bicarbonate were given. Three hours after the completion of surgery, urine output was begun and urine myoglobin was found to be positive. Renal function improved gradually and serum creatinine level decreased to 1.6 mg/dl on the 14th postoperative day. Malignant hyperthermia can lead to severe rhabdomyolysis and delayed graft function in renal transplant recipients. Early diagnosis and intervention is crucial for protecting renal function.
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After the completion of vascular and uretherovesical anostomosis, the patient’s heart rate began to rise, sweatiness was observed and body temperature increased to 41°C. Additionally, metabolic and respiratory acidosis and hyperkalemia were detected. Serum creatine kinase and lactic dehydrogenase levels were increased significantly. After external cooling and the administration of dantrolene sodium, body temperature and heart rate were decreased. During this period; furosemide, mannitol and sodium bicarbonate were given. Three hours after the completion of surgery, urine output was begun and urine myoglobin was found to be positive. Renal function improved gradually and serum creatinine level decreased to 1.6 mg/dl on the 14th postoperative day. Malignant hyperthermia can lead to severe rhabdomyolysis and delayed graft function in renal transplant recipients. 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subjects Adult
Biological and medical sciences
Case Report
Combined surgery. Multiple transplantations
Humans
Kidney Failure, Chronic - surgery
Kidney Transplantation - adverse effects
Kidney Transplantation - methods
Kidney Transplantation - physiology
Male
Malignant Hyperthermia - etiology
Medical sciences
Rhabdomyolysis - etiology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
title Severe Rhabdomyolysis due to Malignant Hyperthermia during Renal Transplantation Procedure Can Cause Delayed Graft Function
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