A cola-induced hypokalemic rhabdomyolysis with electromyographic evaluation: A case report
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...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2017-02-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X17695717 |
| _version_ | 1818032352291454976 |
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| author | Davide Ferrazzoli Annarita Sabetta Grazia Palamara Luca Caremani Marina Capobianco Pietro Balbi Giuseppe Frazzitta |
| author_facet | Davide Ferrazzoli Annarita Sabetta Grazia Palamara Luca Caremani Marina Capobianco Pietro Balbi Giuseppe Frazzitta |
| author_sort | Davide Ferrazzoli |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-10T06:06:00Z |
| format | Article |
| id | doaj.art-037108bad00b41acb036b7a7dcc1c77a |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-10T06:06:00Z |
| publishDate | 2017-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-037108bad00b41acb036b7a7dcc1c77a2022-12-22T01:59:42ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2017-02-01510.1177/2050313X1769571710.1177_2050313X17695717A cola-induced hypokalemic rhabdomyolysis with electromyographic evaluation: A case reportDavide Ferrazzoli0Annarita Sabetta1Grazia Palamara2Luca Caremani3Marina Capobianco4Pietro Balbi5Giuseppe Frazzitta6Department of Neurorehabilitation and Neurological Service, “Moriggia - Pelascini” Hospital, Gravedona ed Uniti (Como), ItalyDepartment of Neurorehabilitation and Neurological Service, “Moriggia - Pelascini” Hospital, Gravedona ed Uniti (Como), ItalyDepartment of Neurorehabilitation and Neurological Service, “Moriggia - Pelascini” Hospital, Gravedona ed Uniti (Como), ItalyDepartment of Neurorehabilitation and Neurological Service, “Moriggia - Pelascini” Hospital, Gravedona ed Uniti (Como), ItalyDepartment of Neurorehabilitation and Neurological Service, “Moriggia - Pelascini” Hospital, Gravedona ed Uniti (Como), ItalyDepartment of Neurorehabilitation, Scientific Institute of Pavia via Boezio, IRCCS, “Salvatore Maugeri” Foundation, Pavia, ItalyFondazione Europea Ricerca Biomedica FERB, “S. Isidoro” Hospital, Bergamo, ItalyObjective: 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.https://doi.org/10.1177/2050313X17695717 |
| spellingShingle | Davide Ferrazzoli Annarita Sabetta Grazia Palamara Luca Caremani Marina Capobianco Pietro Balbi Giuseppe Frazzitta A cola-induced hypokalemic rhabdomyolysis with electromyographic evaluation: A case report SAGE Open Medical Case Reports |
| title | A cola-induced hypokalemic rhabdomyolysis with electromyographic evaluation: A case report |
| title_full | A cola-induced hypokalemic rhabdomyolysis with electromyographic evaluation: A case report |
| title_fullStr | A cola-induced hypokalemic rhabdomyolysis with electromyographic evaluation: A case report |
| title_full_unstemmed | A cola-induced hypokalemic rhabdomyolysis with electromyographic evaluation: A case report |
| title_short | A cola-induced hypokalemic rhabdomyolysis with electromyographic evaluation: A case report |
| title_sort | cola induced hypokalemic rhabdomyolysis with electromyographic evaluation a case report |
| url | https://doi.org/10.1177/2050313X17695717 |
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