Why the study?
Acute kidney injury secondary to rhabdomyolysis following strenuous work in patients with primary hypothyroidism is rare.
Highlights a rare case of acute kidney injury secondary to rhabdomyolysis precipitated by strenuous work in a patient with primary hypothyroidism.
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Alerts clinicians to hypothyroidism in unexplained rhabdomyolysis-AKI; hypothesis-generating and requires larger studies before practice change.
Acute kidney injury (AKI), secondary to rhabdomyolysis (RM) following strenuous work with primary hypothyroidism, is rare. Here, is a case report of a 32-year-old female who developed AKI following strenuous work in a paddy field in the background of overt primary hypothyroidism. High serum creatine phosphokinase levels and high concentration of myoglobin in urine were noted, which was suggestive of myoglobinuria due to severe RM and elevated creatine level in serum, which indicated AKI. The patient’s condition improved significantly after initiation of levothyroxine replacement therapy and hemodialysis. AKI secondary to RM with primary hypothyroidism and strenuous work as a precipitating factor is quite rare. We expect this case report to add to the existing literature on this subject.
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Ahmad et al. (2024) studied this question.
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