Crush syndrome of today – rhabdomyolysis of intoxicateds

Česká verzia

Authors: Angela Molčányiová ¹; Theodoz Molčányi ²; Miroslav Mydlík ³
Authors place of work: Laboratóriá Labmed, a. s., Košice, Slovenská republika, výkonný riaditeľ Ing. Vladimír Nestor ¹; Klinika úrazovej chirurgie LF UPJŠ a UN L. Pasteura Košice, Slovenská republika, prednosta prof. MUDr. Miroslav Kitka, PhD. ²; IV. interná klinika LF UPJŠ a UN L. Pasteura Košice, Slovenská republika, prednosta prof. MUDr. Ivan Tkáč, PhD. ³
Published in the journal: Vnitř Lék 2014; 60(3): 249-254
Category: Case Report

Summary

Crush syndrome is a major issue in war-afflicted countries and in times of peace also in case of a mining accident. This syndrome is characterized by a number of symptoms originating from muscle damage – rhabdomyolysis – resulting from long-lasting entrapment of the body/extremities. Nowadays, crush syndrome seems to be a scarce condition. However, the rare incidence may rather be the result of poor diagnostic recognition. Although the war conflicts and mining accidents became seldom, increased incidence of rhabdomyolysis is progressively associated with world-wide drug consumption. Long-term immobilisation of intoxicated drug addicts frequently leads to muscle damage, mediated by a local pressure exerted on the extremities. Rhabdomyolysis may become clinically manifest in a form of an acute muscular compartment syndrome.

Key words:
acute intoxication – acute muscular compartment syndrome – compartment pressure – dermofasciotomy – rhabdomyolysis

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