PMC3325014_01
Patient blood creatine kinase (CK) and myoglobin levels from emergency room (ER) to recovery from rhabdomyolysis.. Notes: The first four points of blood myoglobin level were obtained as part of two cardiac marker curves, while the following for rhabdomyolysis monitoring. The basal two points of blood CK value were obtained as routine analysis at ER and on the first day of hospitalization. The following CK values were measured for rhabdomyolysis monitoring after the unexpected myoglobin increase (see text for detail). Dotted part of the CK line represents the lacking CK values.
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On the second day of hospitalization, for continuing sinus tachycardia, in the absence of any evident causes (fever, hypotension, arterial-venous fistula, thyrotoxicosis, suspected drug treatments, etc) beta-blocker treatment (bisoprolol 1.25 mg, daily) was added and a cardiac markers' curve was restarted (Figure 1). The patient was discharged home on the sixth hospital day (Figure 1) with the diagnosis of iatrogenic rhabdomyolysis and acquired pneumonia of unknown etiology.