Diver with decompression injury, elevation of serum transaminase levels, and rhabdomyolysis

Annals of Emergency Medicine
E S Shank, C M Muth

Abstract

A 43-year-old female recreational scuba diver presented to the emergency department 1 hour after a rapid, uncontrolled ascent. Her presentation included progressing confusion, slow and slurred speech, and complaints of headache and hypesthesia over her forearms and anterior thighs bilaterally. Differential diagnosis included arterial gas embolism and decompression sickness. She underwent recompression therapy with US Navy Table 6 within 120 minutes of her ascent. After recompression therapy, the patient had signs and symptoms consistent with severe rhabdomyolysis, including creatine kinase levels of 36,000 U/L and myoglobinuria.

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Citations

Jan 27, 2005·The American Journal of Emergency Medicine·William G FernandezWilliam K Chiang
Jun 14, 2003·The Neurologist·Diana Marie BarrattKeith Van Meter
Nov 6, 2003·Intensive Care Medicine·Kay TetzlaffClaus M Muth
Apr 28, 2012·Journal of Clinical Neuromuscular Disease·Mark E LandauWilliam Campbell
Dec 28, 2017·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Ashok Kumar SinghSurendra Kumar
Aug 20, 2016·Veterinary Pathology·E SierraP Herráez

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