Case report and literature review: Acute rhabdomyolysis caused by overheating of electric blanket complicated with Guillain-Barré syndrome

Rhabdomyolysis (RM) induced by electric blankets is exceedingly rare, with only three cases identified in our literature review. Both RM and Guillain–Barré syndrome (GBS) present with similar clinical manifestations of myalgia and muscle weakness, posing a potential challenge for accurate diagnosis...

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Main Authors: Dongyang Jiang, Ming Zhao, Xiaojun Li, Qiongdan Hu, Qiong Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2024.1362648/full
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author Dongyang Jiang
Ming Zhao
Xiaojun Li
Qiongdan Hu
Qiongdan Hu
Qiong Zhang
author_facet Dongyang Jiang
Ming Zhao
Xiaojun Li
Qiongdan Hu
Qiongdan Hu
Qiong Zhang
author_sort Dongyang Jiang
collection DOAJ
description Rhabdomyolysis (RM) induced by electric blankets is exceedingly rare, with only three cases identified in our literature review. Both RM and Guillain–Barré syndrome (GBS) present with similar clinical manifestations of myalgia and muscle weakness, posing a potential challenge for accurate diagnosis in clinical settings. This report presents the case of a 22-year-old man who developed RM subsequent to the use of an electric blanket. Despite undergoing plasma exchange and renal replacement therapy, the patient continued to exhibit poor muscle strength in both lower limbs. Subsequent comprehensive evaluation revealed the presence of concurrent GBS. Following a 5-day course of intravenous gamma globulin treatment, the patient experienced rapid recovery of muscle strength and was discharged. Additionally, we reviewed seven cases from the literature of coexistent RM and GBS. This indicated that investigation of the timing of onset of muscle strength decline in RM patients could help to identify potential concurrent neurological or muscular disorders. In cases in which concurrent GBS and RM cannot be definitively ascertained during early hospitalization, prioritizing plasma exchange treatment may lead to improved patient outcomes.
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spelling doaj.art-d780f15dc5c040ed985eb7edf04bf32c2024-02-21T05:50:07ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-02-011510.3389/fneur.2024.13626481362648Case report and literature review: Acute rhabdomyolysis caused by overheating of electric blanket complicated with Guillain-Barré syndromeDongyang Jiang0Ming Zhao1Xiaojun Li2Qiongdan Hu3Qiongdan Hu4Qiong Zhang5Department of Nephrology, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, ChinaDepartment of Nephrology, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, ChinaDepartment of Nephrology, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, ChinaDepartment of Nephrology, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, ChinaInstitute of Integrated Chinese and Western Medicine, Southwest Medical University, Luzhou, Sichuan, ChinaDepartment of Nephrology, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, ChinaRhabdomyolysis (RM) induced by electric blankets is exceedingly rare, with only three cases identified in our literature review. Both RM and Guillain–Barré syndrome (GBS) present with similar clinical manifestations of myalgia and muscle weakness, posing a potential challenge for accurate diagnosis in clinical settings. This report presents the case of a 22-year-old man who developed RM subsequent to the use of an electric blanket. Despite undergoing plasma exchange and renal replacement therapy, the patient continued to exhibit poor muscle strength in both lower limbs. Subsequent comprehensive evaluation revealed the presence of concurrent GBS. Following a 5-day course of intravenous gamma globulin treatment, the patient experienced rapid recovery of muscle strength and was discharged. Additionally, we reviewed seven cases from the literature of coexistent RM and GBS. This indicated that investigation of the timing of onset of muscle strength decline in RM patients could help to identify potential concurrent neurological or muscular disorders. In cases in which concurrent GBS and RM cannot be definitively ascertained during early hospitalization, prioritizing plasma exchange treatment may lead to improved patient outcomes.https://www.frontiersin.org/articles/10.3389/fneur.2024.1362648/fullrhabdomyolysisGuillain–Barré syndromeheatstrokeelectric blanketacute kidney injuryplasma exchange
spellingShingle Dongyang Jiang
Ming Zhao
Xiaojun Li
Qiongdan Hu
Qiongdan Hu
Qiong Zhang
Case report and literature review: Acute rhabdomyolysis caused by overheating of electric blanket complicated with Guillain-Barré syndrome
Frontiers in Neurology
rhabdomyolysis
Guillain–Barré syndrome
heatstroke
electric blanket
acute kidney injury
plasma exchange
title Case report and literature review: Acute rhabdomyolysis caused by overheating of electric blanket complicated with Guillain-Barré syndrome
title_full Case report and literature review: Acute rhabdomyolysis caused by overheating of electric blanket complicated with Guillain-Barré syndrome
title_fullStr Case report and literature review: Acute rhabdomyolysis caused by overheating of electric blanket complicated with Guillain-Barré syndrome
title_full_unstemmed Case report and literature review: Acute rhabdomyolysis caused by overheating of electric blanket complicated with Guillain-Barré syndrome
title_short Case report and literature review: Acute rhabdomyolysis caused by overheating of electric blanket complicated with Guillain-Barré syndrome
title_sort case report and literature review acute rhabdomyolysis caused by overheating of electric blanket complicated with guillain barre syndrome
topic rhabdomyolysis
Guillain–Barré syndrome
heatstroke
electric blanket
acute kidney injury
plasma exchange
url https://www.frontiersin.org/articles/10.3389/fneur.2024.1362648/full
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