Key result
Strenuous exercise during university orientation programs led to three cases of exertional rhabdomyolysis, all of which were successfully managed with supportive care.
Case Report (n=3)
Strenuous, unsupervised exercise during university orientation programs can lead to exercise-induced rhabdomyolysis, which requires prompt recognition and supportive care.
Raises awareness for exertional rhabdomyolysis in orientation programs; leaves open prospective prevention studies.
Most students entering universities will participate in the orientation programs organised by the universities, residential halls and departments. Many of these programs involve strenuous exercises and yet not being closely supervised by recognised physical trainers. Some students are not accustomed to heavy exercises. Still they may have to complete such tasks under peer pressure and sometimes in adverse environmental conditions. This makes them prone to develop exercise-induced/exertional rhabdomyolysis (ER). The hallmark symptoms of rhabdomyolysis are non-specific. As a result, it is often under-diagnosed. We described three cases of exercise-induced rhabdomyolysis in college students diagnosed in the accident and emergency department. All cases were managed successfully with supportive care in emergency medicine ward though the initial creatine kinase levels were alarming. (Hong Kong j.emerg.med. 2011;18:437-440)
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Au-Yeung et al. (2011) conducted a case report in Exercise-induced rhabdomyolysis (n=3). Strenuous exercise during orientation programs was evaluated on Successful management with supportive care. Strenuous exercise during university orientation programs led to three cases of exertional rhabdomyolysis, all of which were successfully managed with supportive care.
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