Lose 500,000 Creatine Phosphokinase With a 2-Hour Workout: A Case Report on Rhabdomyolysis in a Novice Athlete

The co-occurrence of acute kidney injury secondary to rhabdomyolysis in a young patient can present as a prognostic and therapeutic challenge. Here we report a case with an unusually high creatinine phosphokinase of over 500,000 U/L after a 2-hour workout session at the gym. The challenge was to assess if the need for renal replacement therapy was warranted and whether IV fluid therapy with close monitoring would be enough to treat him, given he had a good urine output and no acid base disorder. The literature is reviewed as an attempt to delineate a rational approach to evaluating novice athletes at risk for rhabdomyolysis. World J Nephrol Urol. 2016;5(3):54-57 doi: http://dx.doi.org/10.14740/wjnu280e