J Korean Orthop Assoc.  1971 Dec;6(4):335-342. 10.4055/jkoa.1971.6.4.335.

Clinical Analysis on Ischemic Myosits associated with Carbon Monoxide Poisoning

• Kim KW
• Lee EY
• Suk SI
• Hahn MS

• KMID: 2464037
• DOI: http://doi.org/10.4055/jkoa.1971.6.4.335

Abstract

A clinical review and analysis was carried out on 14 cases of ischemic myositis associated with carbon monoxide poisioning treated at S.N.U.H. during the 3 year period from 1968 to 1971 with following results. l. Among 14 patients, there were 8 males and 6 females. 8 cases were between the 20-30 years of age. None was observed under 20 years old. 2. Average duration of exposure to carbon monoxide gas was 9 hours, mostly between 8-12 hours. 3. Such systemic conditions are suggested as predisposing causes leading to ischemic myositis as pregnancy, postpartum, active pulmonary tuberculosis, obesity with hypertension, and hypnotic addiction. 4. In regard to the local factors, prolonged external pressure the body is subjected to in unconcious state as well as local burn is shown to be responsible for the myositis. And in this respect Korean mode of bed on On-Dol may deserve blame for myositis because of its hardness and much heat. 5. Complications associated with ischemic myositis were 3 cases of ischemic myocarditis, 2 cases of brain syndrome and 3 cases of acute renal failure. In 3 cases of renal failure, all terminated fatally inspite of the intensive care including hemodialysis. 6. Fasciotomy should be performed cautiously, as 4 cases of secandary infection were complicated after fasciotomy on 5 cases.

MeSH Terms

Acute Kidney Injury
Brain
Burns
Carbon Monoxide Poisoning*
Carbon Monoxide*
Carbon*
Critical Care
Female
Hardness
Hot Temperature
Humans
Hypertension
Male
Myocarditis
Myositis
Obesity
Postpartum Period
Pregnancy
Renal Dialysis
Renal Insufficiency
Tuberculosis, Pulmonary
Carbon
Carbon Monoxide