Journal of the Japanese Society of Intensive Care Medicine
Online ISSN : 1882-966X
Print ISSN : 1340-7988
ISSN-L : 1340-7988
Rhabdomyolysis due to water intoxication
Shoko KogawaAkitsuki MorikawaMineji HayakawaJun SawamuraNaoyuki MatsudaTakehiko IshikawaTakashi KameueSatoshi Gando
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JOURNAL FREE ACCESS

2005 Volume 12 Issue 3 Pages 219-222

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Abstract
Rhabdomyolysis is caused by a variety of mechanisms, such as drug intoxication, trauma, electrolytes abnormalites and neuro-muscular disorders. This article describes a 63-year-old male patient developed rhabdomyolysis due to hyponatremia after water intoxination and during its correction. Rhabdomyolysis due to water intoxication is rare, and the mechanism has not yet clearly elucidated. Some investigators suspect that serum electrolytes abnormalities according to sodium-calcium exchanger or changes in serum osmolarity may lead to cell membrane fragility. Our case highlights the clinical importance of serum electrolytes and osmolarity abnormalities as causes of rhabdomyolysis due to water intoxication.
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© The Japanese Society of Intensive Care Medicine
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