Hyponatraemia-induced rhabdomyolysis complicated by anuric acute kidney injury: a renal replacement conundrum.

Authors :: Secombe P
Milne C
Source :: BMJ case reports [BMJ Case Rep] 2016 Dec 13; Vol. 2016. Date of Electronic Publication: 2016 Dec 13.
Publication Year :: 2016
Abstract: Hyponatraemia-induced rhabdomyolysis is a rare, but reported phenomenon, particularly in patients with chronic schizophrenia on depot antipsychotics prone to psychogenic polydipsia. To the best of our knowledge, there are no reported cases of hyponatraemia-induced rhabdomyolysis complicated by oligo-anuric acute kidney injury (AKI) requiring continuous renal replacement therapy (CRRT). The initiation of CRRT is complicated in severe hyponatraemia, predominantly due to the need to avoid rapid changes in tonicity associated with rapid changes in sodium. We report a case of severe hyponatraemia (104 mmol/L) complicated by oligo-anuric rhabdomyolysis-induced AKI and our management of the renal prescription.<br />Competing Interests: Conflicts of Interest: None declared.<br /> (2016 BMJ Publishing Group Ltd.)

Subjects :: Acute Kidney Injury diagnosis
Acute Kidney Injury therapy
Anuria diagnosis
Anuria therapy
Humans
Male
Middle Aged
Rhabdomyolysis diagnosis
Rhabdomyolysis etiology
Acute Kidney Injury complications
Anuria etiology
Hyponatremia complications
Renal Replacement Therapy methods
Rhabdomyolysis complications

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