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J Sport Rehabil. 2007 Aug;16(3):244-59.

Dehydration, cramping, and exertional rhabdomyolysis: a case report with suggestions for recovery.

Author information

1
Florida International University, College of Nursing and Health Sciences, Miami, FL, USA. clearym@fiu.edu

Abstract

OBJECTIVE:

We present a case of severe dehydration, muscle cramping, and rhabdomyolysis in a high school football player followed by a suggested program for gradual return to play.

BACKGROUND:

A 16-year-old male football player (body mass = 69.1 kg, height = 175.3 cm) reported to the ATC after the morning session on the second day of two-a-days complaining of severe muscle cramping.

DIFFERENTIAL DIAGNOSIS:

The initial assessment included severe dehydration and exercise-induced muscle cramps. The differential diagnosis was severe dehydration, exertional rhabdomyolysis, or myositis. CK testing revealed elevated levels indicating mild rhabdomyolysis.

TREATMENT:

The emergency department administered 8 L of intravenous (IV) fluid within the 48-hr hospitalization period, followed by gradual return to activity.

UNIQUENESS:

To our knowledge, no reports of exertional rhabdomyolysis in an adolescent football player exist. In this case, a high school quarterback with a previous history of heat-related cramping succumbed to severe dehydration and exertional rhabdomyolysis during noncontact pre-season practice. We provide suggestions for return to activity following exertional rhabdomyolysis.

PMID:
17923731
[Indexed for MEDLINE]
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