Rhabdomyolysis in an unsuspecting patient

Vitex is an herbal supplement marketed towards women to help regulate menstrual cycles, alleviate some symptoms of premenstrual syndrome, and boost fertility. It is non-FDA regulated and can be purchased from many different places including online and in health stores. We report a case of a 36-year...

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Main Authors: Charlie Farmer, Jessica Barnard, Joanne Zhu
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2018-11-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://dx.doi.org/10.1080/20009666.2018.1536243
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author Charlie Farmer
Jessica Barnard
Joanne Zhu
author_facet Charlie Farmer
Jessica Barnard
Joanne Zhu
author_sort Charlie Farmer
collection DOAJ
description Vitex is an herbal supplement marketed towards women to help regulate menstrual cycles, alleviate some symptoms of premenstrual syndrome, and boost fertility. It is non-FDA regulated and can be purchased from many different places including online and in health stores. We report a case of a 36-year old African American female with no past medical history who developed severe bilateral thigh pain and swelling four days after starting Vitex. This occurred only after mild to moderate exercise that was no more intense than the patient’s typical routine, and she stated to be well hydrated that day. After appropriate labs and workup, she was diagnosed with rhabdomyolysis and admitted to the hospital for close observation and IV fluids. This report is designed to raise the concern that Vitex may potentiate muscle damage with exertion during routine exercise.
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spelling doaj.art-127aeb65cb7a40c1a3a605578def06db2023-01-02T19:07:14ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662018-11-018638638810.1080/20009666.2018.15362431536243Rhabdomyolysis in an unsuspecting patientCharlie Farmer0Jessica Barnard1Joanne Zhu2Wellstar Kennestone Regional Medical CenterWellstar Kennestone Regional Medical CenterHospital Medicine, Wellstar Kennestone Regional Medical CenterVitex is an herbal supplement marketed towards women to help regulate menstrual cycles, alleviate some symptoms of premenstrual syndrome, and boost fertility. It is non-FDA regulated and can be purchased from many different places including online and in health stores. We report a case of a 36-year old African American female with no past medical history who developed severe bilateral thigh pain and swelling four days after starting Vitex. This occurred only after mild to moderate exercise that was no more intense than the patient’s typical routine, and she stated to be well hydrated that day. After appropriate labs and workup, she was diagnosed with rhabdomyolysis and admitted to the hospital for close observation and IV fluids. This report is designed to raise the concern that Vitex may potentiate muscle damage with exertion during routine exercise.http://dx.doi.org/10.1080/20009666.2018.1536243Vitexherbalsupplementrhabdorhabdomyolysisexercise
spellingShingle Charlie Farmer
Jessica Barnard
Joanne Zhu
Rhabdomyolysis in an unsuspecting patient
Journal of Community Hospital Internal Medicine Perspectives
Vitex
herbal
supplement
rhabdo
rhabdomyolysis
exercise
title Rhabdomyolysis in an unsuspecting patient
title_full Rhabdomyolysis in an unsuspecting patient
title_fullStr Rhabdomyolysis in an unsuspecting patient
title_full_unstemmed Rhabdomyolysis in an unsuspecting patient
title_short Rhabdomyolysis in an unsuspecting patient
title_sort rhabdomyolysis in an unsuspecting patient
topic Vitex
herbal
supplement
rhabdo
rhabdomyolysis
exercise
url http://dx.doi.org/10.1080/20009666.2018.1536243
work_keys_str_mv AT charliefarmer rhabdomyolysisinanunsuspectingpatient
AT jessicabarnard rhabdomyolysisinanunsuspectingpatient
AT joannezhu rhabdomyolysisinanunsuspectingpatient