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 |
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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. Early diagnosis and intervention is crucial for protecting renal function.</description><identifier>ISSN: 0250-8095</identifier><identifier>EISSN: 1421-9670</identifier><identifier>DOI: 10.1159/000046678</identifier><identifier>PMID: 11919407</identifier><identifier>CODEN: AJNED9</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>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</subject><ispartof>American journal of nephrology, 2002-01, Vol.22 (1), p.81-83</ispartof><rights>2002 S. 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Karger AG Jan/Feb 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-fad1617e0ae34bd00d136eec6996ead6d733f7ca372bad425bdff9bac3bcfae33</citedby><cites>FETCH-LOGICAL-c358t-fad1617e0ae34bd00d136eec6996ead6d733f7ca372bad425bdff9bac3bcfae33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2423,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13625517$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11919407$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Caglar, Kayser</creatorcontrib><creatorcontrib>Orhan, Mehmet Emin</creatorcontrib><creatorcontrib>Gulec, Bulent</creatorcontrib><creatorcontrib>Yavuz, Izzet</creatorcontrib><creatorcontrib>Yenicesu, Mujdat</creatorcontrib><creatorcontrib>Guzeldemir, Erdal</creatorcontrib><creatorcontrib>Vural, Abdulgaffar</creatorcontrib><title>Severe Rhabdomyolysis due to Malignant Hyperthermia during Renal Transplantation Procedure Can Cause Delayed Graft Function</title><title>American journal of nephrology</title><addtitle>Am J Nephrol</addtitle><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.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Case Report</subject><subject>Combined surgery. Multiple transplantations</subject><subject>Humans</subject><subject>Kidney Failure, Chronic - surgery</subject><subject>Kidney Transplantation - adverse effects</subject><subject>Kidney Transplantation - methods</subject><subject>Kidney Transplantation - physiology</subject><subject>Male</subject><subject>Malignant Hyperthermia - etiology</subject><subject>Medical sciences</subject><subject>Rhabdomyolysis - etiology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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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. Early diagnosis and intervention is crucial for protecting renal function.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>11919407</pmid><doi>10.1159/000046678</doi><tpages>3</tpages></addata></record> |
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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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