Furosemide-Induced Severe Hypokalemia With Rhabdomyolysis Without Cardiac Arrest

Wolfgang Ruisz; Claudia Stöllberger; Josef Finsterer; Franz Weidinger

BMC Womens Health. 2013;13(30)

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"Written informed consent was obtained from the patient for publication of this Case report and any accompanying images. A copy of the written consent is available for review by the Series Editor of this journal."

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Authors' contributions
WR investigation of the patient. CS literature research, drafting of the manuscript, corresponding author. JF literature research, drafting of the manuscript. FW drafting of the manuscript. All authors read and approved the final manuscript.

Table 1. Laboratory findings
Parameter	Reference value	Day 1	Day 1	Day 2	Day 2	Day 3	Day 3	Day 5	Day 7	Day 8	Day 15
		12:02	22:58	05:47	21.38	07:42	18:10	09:45	10:42	08:08	12:21
BUN	9.0–20.0 mg/dl	25	21	21	NM	12	9	4	6	8	14
Creatinine	−1.1 mg/dl	1.64	1.15	NM	NM	0.87	1.00	0.74	0.80	0.84	0.81
GFR	>90 ml/min/1.73 m	42	63	NM	NM	87	74	104	95	90	94
Sodium	136.0–145.0 mmol/l	130	129	132	132	138	136	137	140	140	139
Potassium	3.3–5.1 mmol/l	1.1	1.6	1.5	1.4	1.7	2.8	4.5	5.4	4.9	5.0
Chloride	98.0–106.0 mmol/l	90	92	97	98	101	97	100	NM	NM	99
Calcium	2.1–2.7 mmol/l	2.66	2.0	2.0	2.0	2.1	2.0	2.1	NM	NM	2.8
pH	7.33–7.42	7.549	7.514	7.468	7.454	7.357	7.453	7.467	NM	NM	7.371
HCO₃ ⁻	22–26 mmol/l	31.4	28.6	29.0	28.4	25.3	30.9	33.3	NM	NM	29.0
P_CO2	38–42 mmHg	36.1	34.2	40.9	42.3	52.1	48.0	35.7	NM	NM	57.0
CK	−144.0 U/l	15966	13143	11570	NM	9882	12043	5703	1867	1070	102
Leukocytes	4.0–9.0/nl	18.1	NM	NM	NM	9.5	8.9	NM	NM	5.5	5.9
Erythrocytes	4.0–5.2/pl	5.19	NM	NM	NM	3.28	3.48	NM	NM	3.54	3.55
Hemoglobin	12.0–16.0 g/dl	16.6	NM	NM	NM	10.4	11.2	NM	NM	11.4	12.1
Hematocrit	38.0–48.0%	42.7	NM	NM	NM	27.8	29.6	NM	NM	35.0	35.2

GFR = glomerular filtration rate, estimated according the Modified Diet in Renal Disease formula; CK = Creatinphosphokinase.

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Furosemide-Induced Severe Hypokalemia With Rhabdomyolysis Without Cardiac Arrest

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