Acute rhabdomyolysis has rarely been reported after cytotoxic chemothe
rapy, including cytarabine and 5-azacytidine. We observed a case of ac
ute rhabdomyolysis and renal failure after treatment with mitoxantrone
and cyclophosphamide. No other cause of muscle injury could be identi
fied, although biochemical analysis of a muscle biopsy specimen reveal
ed a deficiency of muscle phosphorylase activity. Retreatment with dox
orubicin and paclitaxel was not associated with recurrent rhabdomyolys
is.