ACUTE-RENAL-FAILURE DUE TO RHABDOMYOLYSIS IN DIABETIC-PATIENTS

We report a 32-year-old Black man, admitted to the ICU with coma and s evere metabolic disturbances due to diabetic ketoacidosis. During the admission, rhabdomyolysis and acute renal failure (ARF) were diagnosed . After metabolic control and gradual decrease of creatine kinase leve ls, he presented a progressive improvement of renal function. We empha size nontraumatic rhabdomyolysis as a poorly recognized pathogenetic f actor for ARF in diabetic ketoacidosis and suggest that a better under standing of its mechanisms and an early application of protective meas ures is necessary.