Seorang Pria Sehat Berusia 23 Tahun dengan Pingsan Setelah Bermain Futsal: Kasus Rhabdomyolysis yang disebabkan oleh aktivitas
Laporan Kasus
DOI:
https://doi.org/10.55175/cdk.v52i7.1508Kata Kunci:
Rabdomiolisis eksersional, futsal, sinkopAbstrak
Pendahuluan: Rabdomiolisis eksersional (RE) merupakan kondisi medis akibat olahraga berat yang ditandai oleh kerusakan otot rangka diikuti dengan terlepasnya komponen intraseluler ke sirkulasi. RE memiliki gejala klinis yang bervariasi dan dapat menimbulkan berbagai komplikasi yang meningkatkan morbiditas dan mortalitas. Kasus: Pria berusia 23 tahun datang ke UGD dengan penurunan kesadaran setelah bermain futsal. Setelah pemasangan kateter urin, ditemukan urin berwarna coklat. Pemeriksaan laboratorium menunjukkan peningkatan kadar creatine kinase (CK) serum (199,011 IU/L), peningkatan kreatinin serum, hiperkalemia, dan asidosis metabolik. Pasien didiagnosis rabdomiolisis eksersional, gangguan ginjal akut, hiperkalemia, dan asidosis metabolik. Simpulan: Kondisi pasien dan fungsi ginjal pasien membaik setelah terapi rehidrasi intravena agresif, insulin intravena, dan natrium bikarbonat. Diagnosis yang cepat dan penatalaksanaan yang tepat dapat mengurangi komplikasi, morbiditas dan mortalitas.
Unduhan
Referensi
Peng F, Lin X, Sun LZ, Zhou W, Chen Y, Li P, et al. Exertional rhabdomyolysis in a 21-year-old healthy man resulting from lower extremity training: A case report. Medicine (Baltimore). 2019;98(28):e16244. DOI: 10.1097/MD.0000000000016244.
Kodadek L, Carmichael Ii SP, Seshadri A, Pathak A, Hoth J, Appelbaum R, et al. Rhabdomyolysis: An American Association for the Surgery of Trauma Critical Care Committee clinical consensus document. Trauma Surg Acute Care Open. 2022;7(1):e000836. DOI: 10.1136/tsaco-2021-000836.
Carneiro A, Viana-Gomes D, Macedo-da-Silva J, Lima GHO, Mitri S, Alves SR, et al. Risk factors and future directions for preventing and diagnosing exertional rhabdomyolysis. Neuromuscul Disord. 2021;31(7):583-95. DOI: 10.1016/j.nmd.2021.04.007.
Tibana RA, Sousa NMF, Cunha GV, Prestes J, Navalta JW, Voltarelli FA. Exertional rhabdomyolysis after an extreme conditioning competition: A case report. Sports (Basel). 2018;6(2):40. DOI: 10.3390/sports6020040.
Kim J, Lee J, Kim S, Ryu HY, Cha KS, Sung DJ. Exercise-induced rhabdomyolysis mechanisms and prevention: A literature review. J Sport Health Sci. 2016;5(3):324-33. DOI: 10.1016/j.jshs.2015.01.012.
Gupta A, Thorson P, Penmatsa KR, Gupta P. Rhabdomyolysis: Revisited. Ulster Med J. 2021;90(2):61-9. PMID: 34276082.
Al Badi A, Al Rasbi S, Alalawi AM. Exercise-induced rhabdomyolysis: A case report and literature review. Cureus. 2020;12(8):e10037. DOI: 10.7759/cureus.10037.
Alharbi KF, Alfahmi MZ. Exercise-induced rhabdomyolysis manifestations and complications: A case report. Ann Med Surg (Lond). 2023;85(12):6285-8. DOI: 10.1097/MS9.0000000000001479.
Torres PA, Helmstetter JA, Kaye AM, Kaye AD. Rhabdomyolysis: Pathogenesis, diagnosis, and treatment. Ochsner J. 2015;15(1):58-69. PMID: 25829882.
Carenzo L, Ghio FE, Mariani N, Adami PE, Cecconi M, Bonizzato S. An unusual case of marathon-related exercise associated collapse: Case report and some considerations for medical care at endurance mass participation events. J Sci Med Sport. 2024;27(1):20-4. DOI: 10.1016/j.jsams.2023.10.010.
Garcia CK, Renteria LI, Leite-Santos G, Leon LR, Laitano O. Exertional heat stroke: Pathophysiology and risk factors. BMJ Med. 2022;1(1):e000239. DOI: 10.1136/bmjmed-2022-000239.
Fernandes PM, Davenport RJ. How to do it: Investigate exertional rhabdomyolysis (or not). Pract Neurol. 2019;19(1):43-8. DOI: 10.1136/practneurol-2018-002008.
Leyk D, Hoitz J, Becker C, Glitz KJ, Nestler K, Piekarski C. Health risks and interventions in exertional heat stress. Dtsch Arztebl Int. 2019;116(31-32):537-44. DOI: 10.3238/arztebl.2019.0537.
Adnan Bukhari H. A systematic review on outcomes of patients with heatstroke and heat exhaustion. Open Access Emerg Med. 2023;15:343-54. DOI: 10.2147/OAEM.S419028.
Stanley M, Chippa V, Aeddula NR, Rodriguez BSQ, Adigun R. Rhabdomyolysis [Internet]. 2024 [cited 2024 March 24]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448168/.
Sunder A, Mohanty B, Singh A, Yadav P. Rhabdomyolysis - Exercise induced nightmare. J Family Med Prim Care. 2019;8(1):305-7. DOI: 10.4103/jfmpc.jfmpc_370_18.
Shroff K, Gunasegaren M, Norbu K, Omar E. Clinical characteristics of spinning-induced rhabdomyolysis and other causes of rhabdomyolysis: A comparative study. Singapore Med J. 2022;63(10):567-71. DOI: 10.11622/smedj.2021116.
Jabur WL, Nasa P, Mohammed KA, Kulkarni A, Tomaraei SN. An observational epidemiological study of exercise-induced rhabdomyolysis causing acute kidney injury: A single-center experience. Indian J Nephrol. 2018;28(2):101-4. DOI: 10.4103/ijn.IJN_350_16.
Scalco RS, Snoeck M, Quinlivan R, Treves S, Laforet P, Jungbluth H, et al. Exertional rhabdomyolysis: Physiological response or manifestation of an underlying myopathy? BMJ Open Sport Exerc Med. 2016;2(1):e000151. DOI: 10.1136/bmjsem-2016-000151.
Unduhan
Diterbitkan
Cara Mengutip
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2025 David Kristianus, Jonkie Budi Tirtadjaja
Artikel ini berlisensi Creative Commons Attribution-NonCommercial 4.0 International License.
