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Cold Medications Aggravated Rhabdomyolysis Symptoms Induced by Building Construction Work and Strenuous Exercise: a Case Report  

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)
Publication Information
Korean Journal of Clinical Pharmacy / v.26, no.3, 2016 , pp. 264-266 More about this Journal
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
Rhabdomyolysis; creatine phosphokinase (CPK); myogloblin; building construction work; exercise; cold medicines;
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Times Cited By KSCI : 1  (Citation Analysis)
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