Korean Journal of Clinical Pharmacy (한국임상약학회지)

Korean College Of Clinical Pharmacy (한국임상약학회)
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Cold Medications Aggravated Rhabdomyolysis Symptoms Induced by Building Construction Work and Strenuous Exercise: a Case Report

건축노동과 스트레스성 운동에 의한 횡문근융해증상을 악화시키는 감기약: 증례보고

  • Yoon, Hyonok (College of Pharmacy, Research Institute of Pharmaceutical Science, Gyeongsang National University) ;
  • Jang, Yoon Jin (College of Pharmacy, Research Institute of Pharmaceutical Science, Gyeongsang National University) ;
  • Park, Si Nae (College of Pharmacy, Research Institute of Pharmaceutical Science, Gyeongsang National University) ;
  • Choi, Eun Joo (College of Pharmacy, Chosun University) ;
  • Kim, Soo Wan (Division of Nephrology, Department of Internal Medicine, Chonnam National University Hospital and Medical School of Chonnam National University)
  • 윤현옥 (경상대학교 약학대학 및 약학연구소) ;
  • 장윤진 (경상대학교 약학대학 및 약학연구소) ;
  • 박시내 (경상대학교 약학대학 및 약학연구소) ;
  • 최은주 (조선대학교 약학대학) ;
  • 김수완 (전남대학교 의학전문대학원 및 전남대학교병원 신장내과)
  • Received : 2016.01.04
  • Accepted : 2016.07.05
  • Published : 2016.09.30
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Abstract

A 21-year-old healthy Korean man worked on a building construction site every day for almost 2 months and exercised every day for 1 or 2 hours after working hard. He felt dizziness, nausea, and experienced vomiting and body aches immediately after exercise and immediately took cold medicines including acetaminophen, cimetidine, bepotastine, and Codenal? complex for the common cold symptoms for 2 days because he was scheduled to participate in navy training at that time. He complained of severe trapezius pain and aches in his left calf 3 days after joining the Navy training. Testing revealed creatine phosphokinase (CPK) 6260 U/L, myogloblin 176 mcg/L in the urine, liver enzymes increased, and oliguria, suggesting rhabdomyolysis. He recovered with intravenous fluids without any complications.

Keywords

References

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