Furosemide-Induced Severe Hypokalemia With Rhabdomyolysis Without Cardiac Arrest

Wolfgang Ruisz; Claudia Stöllberger; Josef Finsterer; Franz Weidinger


BMC Womens Health. 2013;13(30) 

In This Article


Chronic abuse of furosemide as cause of hypokalemia has been repeatedly reported.[1–5] Extreme furosemide-induced hypokalemia with a serum potassium level of 1.1 mmol/l, is rare and associated with life-threatening cardiac arrest and rhabdomyolysis.[6–8] Typically, furosemide-induced hypokalemia is characterized by hypernatremia, hypocalcemia, hypomagnesemia, high urine calcium creatinine ratio, high urine sodium excretion and high urine calcium/creatinine ration. Furosemide-induced hypokalemia may also present without these electrolyte abnormalities and only be detected by the history, as shown by the following case.