Korean J Nephrol.  2004 May;23(3):509-513.

A Case of Rhabdomyolysis and Acute Renal Failure Associated with Mitochondrial Myopathy

Affiliations
  • 1Department of Internal Medicine, Hanil Hospital, Seoul, Korea. manitol@medigate.net
  • 2Department of Neurology, Hanil Hospital, Seoul, Korea.

Abstract

Mitochondrial myopathies are diseases caused by defects in metabolic pathway of mitochondria. Mitochondrial myopathy is known as one of the causes of recurrent myoglobinuria, while clinically, rarely causes acute renal failure requiring medical treatments. We report a case of rhabdomyolysis and acute renal failure associated with mitochondrial myopathy. A 58-year-old male was presented with dyspnea and hypotensive shock. The patient had a history of recurrent dark colored urine and cramping leg pain after prolonged fasting. Laboratory findings showed hyperkalemia, azotemia, metabolic acidosis, and elevated AST, ALT, and creatinine kinase. He had no history of trauma or medication. Muscle biopsy showed "ragged red fibers" in modified Gomori staining. On electron microscope, increased number of mitochondria and abnormal mitochondria were seen. He received hemodialysis and his renal function recovered after 1 month.

Keyword

Mitochondrial myopathy; Rhabdomyolysis; Acute renal failure; Ragged red fibers

MeSH Terms

Acidosis
Acute Kidney Injury*
Azotemia
Biopsy
Creatinine
Dyspnea
Fasting
Humans
Hyperkalemia
Leg
Male
Metabolic Networks and Pathways
Middle Aged
Mitochondria
Mitochondrial Myopathies*
Muscle Cramp
Myoglobinuria
Phosphotransferases
Renal Dialysis
Rhabdomyolysis*
Shock
Creatinine
Phosphotransferases
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