Journal of Case Reports and Medical History
Discussion
CK - levels exceeding 3000 U/l up to 157700 U/l were found
The measured levels of CK in this case have exceeded values
in sportsmen, especially when they acutely increased their
that were usually measured, in healthy athletes. Some
physical activity. Any recent use of alcohol or dietary
possible causes are discussed:
supplement was denied by these sportsmen [2].
CK - levels exceeding 1000 U/l can be caused by muscular
Also, the consumption of wild mushrooms like tricholoma
dystrophy. Also, the age of 14 years would match a muscular
equestre can cause rhabdomyolysis with CK - levels up to
dystrophy type Becker Kiener, but no typical symptoms like
226067 U/l in woman and 34786 U/l in men [3].
difficulties when running or ascending stairs were found in
There are also reported cases of postinfectional severe
this patient. On top of that, the patient shows an above-
rhabdomyolysis possibly associated with a CMV infection
average muscular strength.
[4].
A singular link between his consumption of dietary supplements, work out and highly elevated CK - levels could be found: After stopping his work out and consumption of dietary supplements, the CK - levels normalized. When he did his work out without consumption of any supplements his CK- levels were only slightly elevated.
A singular link between his consumption of dietary
Reference
supplements, work out and highly elevated CK - levels could
1 Poortmans JR, Francaux M. (2000) Adverse effects of
be found:
creatine supplementation: fact or fiction? Sports Med.
After stopping his work out and consumption of dietary
30: 155-170.
supplements, the CK - levels normalized.
2 Galvez, Rupber DO, Stacy, Jason MD, et al. (2008)
When he did his work out without consumption of any
Exertional
supplements his CK- levels were only slightly elevated.
Swimming Athletes. Clin J Sport Med. 18: 366-368.
Rhabdomyolysis
in
Seven
Division-1
Thus, it appears that substances containing creatine, which
3 Bedry R, Baudrimont I, Deffieux G, et al. (2001) Wild-
are being primarily consumed to gain muscle mass, are the
mushroom intoxication as a cause of rhabdomyolysis. N
main cause of the period of extremely elevated levels of
Engl J Med. 345(11): 798-802.
transaminases and CK in this case.
4 Sato K, Yoneda M, Hayashi K. (2006) A steroid-
Creatine monohydrate can be acquired in „health “stores and
responsive case of severe rhabdomyolysis associated
in fitness centres without any prescription. Due to the lack of
with cytomegalovirus infection. Rinsho Shinkeigaku. 46:
knowledge of ling time effects, creatine monohydrate should
312-316
only be supplied if strictly indicated and under monitoring of renal/hepatic function and side effects.
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