03 January 2022
: Case report
Psychosis-Induced Exertional Rhabdomyolysis without Acute Kidney Injury or Myoglobinuria
Unusual clinical course, Challenging differential diagnosis
Joann M. Butkus1ABCDEF*, Mackenzie Kramer2ABE, Vincent Chan3AE, Eunha Kim4DEDOI: 10.12659/AJCR.934943
Am J Case Rep 2022; 23:e934943
Table 4. Daily laboratory investigation.
| Admission day | Serum CK (U/L) | AST (U/L) normal: 5–40 | ALT (U/L) normal: 7–56 | Serum Cr (mg/dL) |
|---|---|---|---|---|
| 0 | 590,000 | 628 | 160 | 0.83 |
| 1 | >42,670 | 660 | 188 | 0.72 |
| 2 | >42,670 | 642 | 210 | 0.71 |
| 3 | >42,670 | 582 | 246 | 0.71 |
| 4 | 33,626 | 409 | 262 | 0.78 |
| 5 | 17,494 | 314 | 330 | 0.74 |
| 6 | 6,959 | 471 | 706 | 0.71 |
| 7 | 2,899 | 469 | 953 | 0.72 |
| 8 | 1,487 | 420 | 936 | 0.75 |
| 9 | 799 | 517 | 1112 | 0.74 |
| 10 | 339 | 446 | 1111 | 0.83 |
| 11 | – | 259 | 855 | 0.79 |
| 12 | – | 247 | 847 | 0.78 |
| 13 | – | 191 | 675 | 0.84 |
| 14 | – | 101 | 492 | 0.85 |
| 15 | – | 66 | 375 | 0.77 |
| 16 | – | 60 | 326 | – |
| 17 | – | 41 | 252 | – |
| 18 | – | 46 | 230 | – |
| 19 | – | 52 | 182 | – |
| 20 | – | 57 | 176 | – |
| 21 | – | 38 | 125 | – |
| 22 | – | 42 | 126 | – |
| * Confirmed by laboratory dilution studies. | ||||






