scholarly journals A Rare Adverse Event of Rhabdomyolysis Caused by Sacubitril/Valsartan

Diseases ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 38 ◽  
Author(s):  
Prashanth Rawla ◽  
Jeffrey Pradeep Raj ◽  
Sajid Melvin George ◽  
Pavani Nathala ◽  
Anantha R. Vellipuram

Rhabdomyolysis is caused by extensive damage to skeletal muscles resulting in elevated creatine phosphokinase (CPK), Lactate dehydrogenase (LDH), and aspartate aminotransferase (AST), leading to life-threatening consequences like acute renal failure, cardiac arrhythmias, and hyperthermia. A variety of causes for muscle damage are known, and one of the most common is drug-induced. Statins and many other agents are known to induce muscle damage, but here we report Entresto™ (Sacubitril/Valsartan) induced rhabdomyolysis which has not been previously reported as solely responsible in the literature.

2011 ◽  
Vol 14 (3) ◽  
pp. A74
Author(s):  
A.M. Alhammad ◽  
M.A. Al Hawaj ◽  
A.J. Alsalman ◽  
Y.N. Alhashem ◽  
S.E. Harpe ◽  
...  

2003 ◽  
Vol 37 (4) ◽  
pp. 538-542 ◽  
Author(s):  
Curtis E Haas ◽  
Yanina Magram ◽  
Archana Mishra

OBJECTIVE: To report a case of nontraumatic rhabdomyolysis complicated by oliguric, acute renal failure following an intentional overdose of ethanol and diphenhydramine. CASE SUMMARY: A 21-year-old white man was admitted through the emergency department following an intentional overdose of ethanol and diphenhydramine. The patient subsequently developed acute renal failure, and a diagnosis of nontraumatic rhabdomyolysis was made. With the absence of other common causes in this case, the rhabdomyolysis was believed to be due to the combined ethanol and diphenhydramine overdose. DISCUSSION: Rhabdomyolysis is a severe and life-threatening syndrome caused by various insults to skeletal muscle, including drug-induced injury. Early detection and institution of effective treatments are essential to minimizing the complications of this syndrome. A delay in establishing the diagnosis in this case likely contributed to the severity of the renal failure. CONCLUSIONS: Nontraumatic rhabdomyolysis is an uncommon adverse outcome of drug and toxin ingestion. Due to the potential severity of the complications of this syndrome and the importance of early recognition and treatment to prevent renal failure, clinicians should have a high index of suspicion for rhabdomyolysis following overdoses that involve alcohol or antihistamines.


2017 ◽  
Vol 4 ◽  
pp. 2329048X1668439 ◽  
Author(s):  
Nuha Basheer ◽  
Sirin Mneimneh ◽  
Mariam Rajab

Rhabdomyolysis is an acute life-threatening condition that can occur in childhood secondary to many causes. The authors report the case of a 3-year-old male child who presented with acute rhabdomyolysis. The peak plasma creatine kinase level was extremely high. The 2 main causes of rhabdomyolysis in childhood are viral myositis and trauma, which can sometimes lead to acute renal failure. The highest creatine kinase levels reported in the literature so far was a 6-digit level in 2014 case report. In this study, the authors report the case of a 7-digit creatine kinase level in a child secondary to viral myositis who did not require renal dialysis.


2007 ◽  
Vol 6 (1) ◽  
pp. 33-34
Author(s):  
JPL Ong ◽  
◽  
LA Thomas ◽  

Rhabdomyolysis is a serious and life-threatening condition in which skeletal muscle is damaged, commonly resulting in acute renal failure. The causes of this clinical entity can be traumatic and non-traumatic. In the latter group, alcohol is the commonest cause. This report describes the case of a 25 year old man who presented with rhabdomyolysis leading to acute renal failure after an alcohol binge. He presented with painful legs and lower extremity compartment syndrome. The patient recovered with surgical fasciotomy and renal support. This case illustrates the importance of early recognition and treatment of alcohol related non-traumatic rhabdomyolysis and compartment syndrome.


2004 ◽  
Vol 19 (7) ◽  
pp. 1916-1917 ◽  
Author(s):  
F. K. Li ◽  
C.-K. Lai ◽  
W. T. Poon ◽  
A. Y. W. Chan ◽  
K. W. Chan ◽  
...  

Author(s):  
Muzaiwirin Muzaiwirin ◽  
Arie Utariani

Introduction: Propofol is often used as sedation for a long time in the ICU. The use is at risk of Propofol Infusion Syndrome (PRIS) which is characterized by arrhythmias or decreased heart function, metabolic acidosis, rhabdomyolysis, and acute renal failure. Literature Review: The pathophysiology of PRIS is due to a disturbance in cell metabolism which inhibits the transport of Free Fatty Acid (FFA) into cells and inhibits the mitochondrial respiration chain. The management of PRIS is supportive of every symptom that arises so that screening is needed as a treatment to reduce high mortality rates. Screening using creatine phosphokinase (CPK) and lactate is supporting data as an initial introduction for symptoms of PRIS. Conclusion: PRIS can occur if continuous administration of propofol > 4 mg / kg / hour. CPK levels> 5000 IU / L become a benchmark to stop propofol before the onset symptoms of PRIS. Implementation of screening protocol is very helpful for clinicians to reduce mortality in ICU due to the use of propofol.


2015 ◽  
Vol 6 (1) ◽  
pp. 15-17
Author(s):  
Fahmuda Akhter ◽  
BH Nazma Yasmeen ◽  
Mohammad Hanif ◽  
Shushoma Roy

Background : Acute Renal Failure (ARF) is a life threatening condition causing significant morbidity and mortality in children. Many studies on adult ARF survivors showed that renal insufficiency persisted after an attack of ARF. Children may be more susceptible to this injury due to immaturity and ongoing growth of the kidney.Objective : This study was conducted to assess the renal functional reserve or detect any sign of renal injury in children after an episode of Acute Renal FailureMethods : This prospective study was carried out in the Renal and Dialysis unit, Dhaka Shishu Hospital in 2007, January . Thirty patients were enrolled in this study by searching data held in the study centre.Results : Thirty (30) patients were selected in this study. Among them 46.7% was in the group > 5-10 years, only 10.0% was in age group < 1 year and more than 10 years respectively. Male were 63.3%, female were 36.7%.Causes of acute renal failure were diarrhoea with dehydration 43.3%, septicaemia 20.0%, Haemolytic Uraemic Syndrome (HUS) 20%, Acute Glomerulo Nephrities (AGN) 10.0%, Henoch Schonlein Purpura ( HSP) 3.3% and hepato renal syndrome 3.3%. During follow up Glomerular Filtration Rate(GFR) of the patients were in stage 1 in 76.7% cases , 10.0% in stage 2, 6.7% in stage 3 stage and in stage 4 & 5 3.3% cases.23.3% patients were found with GFR between stage 2 to stage 5, who had ARF due to HUS and HSP. The incidence of hypertension and proteinuria was found in 13.3% cases of HUS.Conclusion : The progressive nature of acute renal failure which may cause chronic kidney disease is an important observation.Northern International Medical College Journal Vol.6(1) 2014: 15-17


2019 ◽  
Vol 69 (8) ◽  
pp. 1440-1442 ◽  
Author(s):  
Jose Diego Brito-Sousa ◽  
Thalie C Santos ◽  
Sara Avalos ◽  
Gustavo Fontecha ◽  
Gisely C Melo ◽  
...  

Abstract Despite glucose-6-phosphate dehydrogenase (G6PD) deficiency prevalence of 5% in the Amazon, primaquine is administered without G6PD screening. This is an important cause of hospitalization among Plasmodium vivax–infected individuals, leading to life-threatening anemia and acute renal failure across endemic areas. In Manaus, the frequency of primaquine-induced hemolysis was 85.2 cases per 100 000 primaquine users.


Sign in / Sign up

Export Citation Format

Share Document