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Rhabdomyolysis due to multiple fire ant bites a case report
Authors:Anushre Prasad  Ritesh Kumar  Harini Ramanan  Nalini Khandige  Krishnananda Prabhu
Affiliation:1. UMR 216 “Mother and Child Facing Tropical Diseases”, Institut de Recherche pour le Développement and Université Paris Descartes, Sorbonne Paris Cité, Faculté de Pharmacie, Paris, France;2. Centre d''étude et de recherche sur le paludisme associé à la grossesse et à l''enfance, Cotonou, Benin;3. Agencia de Evaluación de Tecnologías Sanitarias, Instituto de Salud Carlos III, Madrid, Spain;1. University of California, San Francisco (UCSF) Fresno Medical Education Program, Department of Emergency Medicine, 155N. Fresno Street, Fresno, CA 93701, USA;2. California Poison Control System-San Diego Division, University of California San Francisco, University of California San Diego Department of Emergency Medicine, San Diego, CA, USA;3. University of Kansas Medical Center, Department of Emergency Medicine, Kansas City, KS, USA;4. University of Kansas Medical Center, Department of Emergency Medicine, Kansas Poison Control System, Kansas City, KS, USA;1. Facultad de Farmacia, Universidad de Costa Rica, San José, Costa Rica;2. Instituto Clodomiro Picado, Facultad de Microbiología, Universidad de Costa Rica, San José, Costa Rica;3. Nuffield Department of Clinical Medicine, John Radcliffe Hospital, University of Oxford, UK
Abstract:
Rhabdomyolysis is a clinical and biochemical syndrome that occurs due to skeletal muscle injury. The main cause of rhabdomyolysis is muscle crush injury, toxins, ischemia, metabolic disorders, and drugs. Rare cases of rhabdomyolysis have been reported after insect stings. Damage to skeletal muscle may be due to physical damage to muscle cells directly or due to interferences with their blood supply. Breakdown products of damaged muscle cells are released into the bloodstream; some of these, such as the protein myoglobin, are harmful to the kidneys and may lead to kidney failure. The symptoms of rhabdomyolysis depend on the severity of the condition. Milder forms of rhabdomyolysis may not cause any muscle symptoms, and the diagnosis is based on abnormal blood tests. Here in, we report an unusual case of rhabdomyolysis triggered by fire ant bites to alert the medical community of this rare complication.
Keywords:
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