Cocaine-Induced Rhabdomyolysis Causing Lumbosacral Plexopathy in an Adult Male

A 48-year-old male presented three days after cocaine use with acute, rapid onset of bilateral lower extremity weakness, bilateral foot numbness, acute urinary retention, and significantly elevated creatinine kinase. Further testing revealed unusual symmetrical edema with contrast enhancement on MRI...

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Detalles Bibliográficos
Autores principales: Sweedan, Yazeed G, Khilan, Muhammad Haroon, Jain, Ashish, Rane, Rahul, Waseem, Saba
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9759270/
https://www.ncbi.nlm.nih.gov/pubmed/36540520
http://dx.doi.org/10.7759/cureus.31613
Descripción
Sumario:A 48-year-old male presented three days after cocaine use with acute, rapid onset of bilateral lower extremity weakness, bilateral foot numbness, acute urinary retention, and significantly elevated creatinine kinase. Further testing revealed unusual symmetrical edema with contrast enhancement on MRI of the lower extremities. The patient was diagnosed with severe non-traumatic, non-exertional rhabdomyolysis causing lumbosacral plexopathy following cocaine use. The treatment was centered around aggressive fluid resuscitation and electrolyte replacement.

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