7/10/2004 Case 2: Acute necrotizing myopathy (rhabdomyolysis)

Clinical History:

This 80 year old black female presented with past history of hypertension, hyperlipidemia, episodes of TIA, arthritis and asthma. Her medications included Irbesartan,Amlodipine, Albuterol, Atenolol and Baycol. She was admitted to the hospital with abdominal pain, constipation, and pain and tenderness in her back, shoulders and hips worsening over a week. Physical examination revealed decreased muscle strength. Her CPK was 46,500.0n the sixth hospital day she developed fever and chills and hypotension and expired .

Slide Image:

view high resolution slide image