Rhabdomyolysis and Acute Renal Failure after Gardening
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Acute nontraumatic exertional rhabdomyolysis may arise in individuals with normal muscles when the energy supply to muscles insufficiently meets demands. Examples usually include ultramarathon races which may be aggravated by extremely hot, humid conditions particularly in physically untrained individuals. Friction blisters on the palms and fingers frequently follow vigorous physical work or repetitive physical activities causing detachment of the skin epidermis. We report on a psychiatric patient who developed large bruises and hemorrhagic blisters on both hands and arms, rhabdomyolysis of both forearm muscles with a moderate compartment syndrome, and a consecutive acute renal failure following excessive work in the garden.....

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