| Objective To discuss the clinical features, therapeutic regimens and prognosis of rhabdomyolysis after cooked crayfish consumption. Methods Epidemiological characteristics, clinical manifestations, laboratory indexes including serum creatinase, urinalysis, renal function and electrolyte, therapeutic regimens and prognosis were recorded in 90 patients, who were admitted to the hospital of from June to August in 2016. Results All patients have eaten crayfish within 24 hours before the onset of illness. The patients all presented myalgia of whole or local body, but without fever, vomiting and limbs twitch. Laboratory examination showed obviously higher than normal level of creatine kinase(CK), aspartate aminotransferase(AST), lactic dehydrogenase(LDH) and myoglobin(Mb). However, there was no significant difference between the male and the female groups in serum levels of CK, Mb,AST and LDH(P>0.05). Through therapeutic regimens including volume repletion, alkalization of urine, no patient developed acute renal failure, and all patients recovered. Conclusion Rhabdomyolysis after cooked crayfish consumption is a syndrome of less severe complications, and the main symptom is myalgia and muscle stiffness, however, the prognosis is good. |
