Unusual Complications of Exertional Rhabdomyolysis in a Patient with Sickle-cell Trait
Case in Point
Jie Ouyang, MD, PhD, Sharvari Dalal, MD, David Blumenthal, MD, Rosemary L. Wieczorek, MD, Martin Salwen, MD, and Matthew R. Pincus, MD, PhD
Dr. Ouyang and Dr. Dalal are both resident physicians in the department of pathology at State University of New York (SUNY) Downstate Medical Center and in the pathology and laboratory medicine service at the Brooklyn Campus of the VA New York Harbor Healthcare System (VA NYHHS), both in Brooklyn, NY. Dr. Blumenthal is the chief of the medical service at the Brooklyn Campus of the VA NYHHS. Dr. Wieczorek is a clinical associate professor of pathology at SUNY Downstate Medical Center and the chief of anatomic pathology in the pathology and laboratory medicine service at the Brooklyn Campus of the VA NYHHS. Dr. Salwen is a distinguished service professor of pathology at SUNY Downstate Medical Center. Dr. Pincus is a professor of pathology at SUNY Downstate Medical Center and the chief of the pathology and laboratory medicine service for the VA NYHHS.
In addition to the more commonly reported complications of renal failure, liver failure, and disseminated intravascular coagulopathy, this young, previously healthy military service member with sickle-cell trait developed cardiac disease and septic shock that contributed to his death.