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Medicine & Science in Sports & Exercise:
doi: 10.1249/01.mss.0000183478.12106.04
CLINICAL SCIENCES: Clinical Case Studies

Case Report of Exertional Rhabdomyolysis in a 12-Year-Old Boy

CLARKSON, PRISCILLA M.

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Abstract

Introduction: Exertional rhabdomyolysis has been well characterized, and many case reports exist. No cases of exertional rhabdomyolysis in young healthy children (preteen) have been published.

Case Summary: Reviewed were the medical records of a 12-yr-old boy who participated in an indoor physical education class where excessive (>250) repetitive squat jumps were performed as punishment for talking in class. The boy, who reported intense muscle soreness in the thighs and dark urine 2 d postexercise, was brought to the emergency room by his parent. His serum creatine kinase (CK) was 92,115 U·L−1 and urinalysis indicated the presence of blood and protein. He was transferred to another hospital that evening, admitted, and treated for 7 d. His serum CK rose to 244,006 U·L−1 at 4 d postexercise.

Conclusion: Although exertional rhabdomyolysis is rare in young children, it can occur when excessive exercise is spurred on by an adult.

©2006The American College of Sports Medicine

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