Abstract
Rhabdomyolysis causes acute renal failure, and immediate treatment can be effective to prevent severe rhandomyolysis. How to deal with severe rhabdomyolysis at first is important for doctors of otorhinolaryngology to know. We report a rare case of deep neck abscess complicated by severe rhabdomyolysis and acute renal failure.
A 40-year-old male was brought to our emergency department with a history of fever, right neck swelling and loss of consciousness. The patient was diagnosed as having a deep neck abscess by CT, and as having rhabdomyolysis and acute renal failure by the increased levels of serum CK, BUN and serum creatinine. Emergency drainage with external incision was performed. On the 3rd hospital day, the serum CK increased to 242,900 IU/l, and on the 4th hospital day, the serum creatinine increased to 4.04 mg/dl. Then, on the 4th and 5th day, emergency hemodialysis was performed. After these treatments, the infection resolved and the serum CK levels and renal function parameters returned to normal.
