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KMID : 0359919930120010104
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Korean Journal of Nephrology
1993 Volume.12 No. 1 p.104 ~ p.109
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A Case of Acute Renal Faiclure Caused by Rhabodomyolysis due
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이영호
김선숙/차대룡/권영주/조원용/김형규
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Abstract
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Tetanus is a disease manifested by uncontrolled muscle spasmas, resulting from the action of the potent neurotoxin as tetanospasmin, produced by Clostridium tetani. Acute renal failure caused by rhabdomyloysis and myoglobinuria is one of the
serious
complications of tetanus, however its frequency seems to be very rare.
A 32-year old female patient who complained trismus, neck stiffness had suffered from otalgia and ear discharge for nine days before admission. We could diagnose her disease as tetanus based on history and cllncal manifestation. Her laberatory
results
showed the elevaed serum CK, LDH levels and positive urine myoglobin. She was treated by 3 times of hemodialysis and 2 times of plasmapheresis and suppritve care during the admission. We report a case of acute renal failure caused by
rhabdomyolysis
and
myoglobinuria in tetanus patient with review of the literatures.
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KEYWORD
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