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Keimyung Medical Journal 2016;35(2):122-127.
Published online December 19, 2016.
Rhabdomyolysis with Acute Kidney Injury Successfully Treated with External Cooling.
Hye In Jung, Yong Sik Kwon, Jae Cheul Pi, Jae Seok Park, Sun Hyo Park, Jin Young Kim, Won Il Choi
1Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea. wichoi@dsmc.or.kr
2Department of Radiology, Keimyung University School of Medicine, Daegu, Korea.
Abstract
Hyperthermia can cause severe complications such as rhabdomyolysis, which can induce acute kidney injury. Normal thermoregulation can be disturbed by high fever, and maintenance of a normal body temperature by external cooling can reduce oxygen consumption, and increase vascular tone. Several studies have been conducted to determine the effectiveness of external cooling in treat rhabdomyolysis or renal failure. We report a case of rhabdomyolysis leading to multiple organ dysfunction, including renal failure. The use of an external cooling device achieved fever control and successfully treated rhabdomyolysis and renal failure.
Key Words: Acute kidney injury, Body temperature, Rhabdomyolysis
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