A cola-induced hypokalemic rhabdomyolysis with electromyographic evaluation: A case report

A cola-induced hypokalemic rhabdomyolysis with electromyographic evaluation: A case report

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Objective: To report a rare case of hypokalemic rhabdomyolysis induced by the heavy and prolonged ingestion of cola-based beverages, and its uneventful recovery after kalemia normalization.Methods: We report a 38-year-old Caucasian male presented in our emergency room with a recent and progressive weakness of the lower limbs proximal muscles.Results: A dietary history revealed a prolonged ingestion of cola-based beverages.Blood tests metabo 15-gauge finish nailer cordless showed severe hypokalemia and marked increase in serum creatine phosphokinase.The analysis of cerebrospinal fluid resulted normal.

Electromyography was suggestive for a myopathy.The clinical, laboratory and neurophysiological data were evocative for a cola-induced hypokalemic rhabdomyolysis.After kalemia normalization, the improvements of the electromyographic findings paralleled the clinical recovery.Conclusion: Chronic consumption of large amount of cola-based soft drinks may result in severe symptomatic hypokalemia, eventually leading in turn to myopathy.To our knowledge, this is the first description of the electromyographic findings of the cola-induced hypokalemic rhabdomyolysis.

An early usmc msgt chevron diagnosis and a prompt treatment appear to be crucial for a benign clinical course.