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16 October 2022: Articles

Physiologic Response to Exercise or Rhabdomyolysis? Creatine Phosphokinase Elevation in 16 Asymptomatic Firefighters

Unusual clinical course, Challenging differential diagnosis

Rajia Arbab A* , Carla Erb B , Justin Joy E , Hanady Zainah E , Majed Mark Samarneh B

DOI: 10.12659/AJCR.937084

Am J Case Rep 2022; 23:e937084

Figure 2. Creatine phosphokinase (CPK) levels each hour after admission for each of the 4 patients. With fluid resuscitation and rest each patient’s CPK levels declined by 17%, 40%, 39%, and 40%, respectively, over the course of the hospital stay. At hospital discharge, patients 1, 2, 3, and 4 had CPK levels of 11 696 U/L, 5600 U/L, 8579 U/L, and 2029 U/L, respectively.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923