16 July 2024
: Case report 
Rhabdomyolysis Risk: The Dangers of Tribulus Terrestris, an Over-the-Counter Supplement
Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Rare disease, Adverse events of drug therapy, Clinical situation which can not be reproduced for ethical reasons
Ross Huff12AEF*, Katarzyna Karpinska-Leydier12EF, Gautam Maddineni12EF, Dustin Begosh-Mayne12EFDOI: 10.12659/AJCR.943492
Am J Case Rep 2024; 25:e943492
Figure 2. Trend of the alanine aminotransferase and aspartate aminotransferase levels from admission on day 1 up until discharge on day 6. AST followed a similar up-trend to the creatinine phosphokinase levels, peaking on day 4 and subsequently down-trending, which is often seen in rhabdomyolysis. ALT followed a slower up-trend and had not shown a peak, with evidence of down-trending prior to discharge. ALT commonly trails the AST in its peak and its down-trend. As the peak was not observed, the patient was directed to follow-up for repeat lab draws as an outpatient; however, this was either not completed or was not uploaded into the patient medical information system.