A cola-induced hypokalemic rhabdomyolysis with electromyographic evaluation: A case report.
SAGE Open Med Case Rep
; 5: 2050313X17695717, 2017.
Article
in En
| MEDLINE
| ID: mdl-28321307
ABSTRACT
OBJECTIVE:
To report a rare case of hypokalemic rhabdomyolysis induced by the heavy and prolonged ingestion of cola-based beverages, and its uneventful recovery after kalemia normalization.METHODS:
We report a 38-year-old Caucasian male presented in our emergency room with a recent and progressive weakness of the lower limbs proximal muscles.RESULTS:
A dietary history revealed a prolonged ingestion of cola-based beverages. Blood tests showed severe hypokalemia and marked increase in serum creatine phosphokinase. The analysis of cerebrospinal fluid resulted normal. Electromyography was suggestive for a myopathy. The clinical, laboratory and neurophysiological data were evocative for a cola-induced hypokalemic rhabdomyolysis. After kalemia normalization, the improvements of the electromyographic findings paralleled the clinical recovery.CONCLUSION:
Chronic consumption of large amount of cola-based soft drinks may result in severe symptomatic hypokalemia, eventually leading in turn to myopathy. To our knowledge, this is the first description of the electromyographic findings of the cola-induced hypokalemic rhabdomyolysis. An early diagnosis and a prompt treatment appear to be crucial for a benign clinical course.
Full text:
1
Database:
MEDLINE
Type of study:
Screening_studies
Language:
En
Year:
2017
Type:
Article