Teenager in critical condition after undergoing 300 "squats"

Overexertion during physical activity caused a 15-year-old boy in Ho Chi Minh City to urinate dark red, posing a risk of acute kidney failure and dangerous electrolyte imbalance.

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On February 11th, the Children's Hospital of Ho Chi Minh City announced that they had successfully treated NPAK (15 years old, from Tan Vinh Loc commune, Ho Chi Minh City).

Upon admission, K. was lethargic, had brown and dark red urine, and experienced muscle pain in her thighs and calves.

According to the medical history, K. had previously performed 300 enemas. The following day, he continued playing football and experienced severe leg pain, making him unable to walk. He received first aid at a local hospital before being transferred to the City Children's Hospital.

Here, the doctor noted that the patient had liver damage, metabolic acidosis, elevated blood lactate, hyperkalemia, and hyperphosphatemia.

Specifically, blood CPK and myoglobin levels were elevated, and very high levels of myoglobin were found in the urine at 12,000 ng/ml (normal <2.03 ng/ml).

According to doctors, this is a condition of acute rhabdomyolysis, causing the release of a series of intracellular substances (ck, myoglobin, potassium, phosphate, etc.) into the bloodstream, which can lead to acute kidney failure and dangerous electrolyte imbalances.

Given this situation, the patient received intravenous fluids at 1.5 times the required amount, electrolyte and blood glucose levels were adjusted, liver detoxification was performed, and urine alkalinization was carried out.

After 7 days of treatment, the child's condition improved; they became alert, and liver and muscle enzyme levels gradually improved.

To prevent rhabdomyolysis in children, Dr. Nguyen Minh Tien, Deputy Director of the City Children's Hospital, advises parents to guide their children to exercise appropriately according to their health, avoiding strenuous exercise and prolonged exertion.

GIAO LINH

Source: https://www.sggp.org.vn/thieu-nien-nguy-kich-after-300-head-suction-post838277.html