Byline: V. Jain, O. Gupta, S. Jajoo, B. Khiangate
Sir,
Rhabdomyolysis is usually associated with hyperkalemia due to renal failure and hence hypokalemia as a cause of rhabdomyolysis is usually missed. [sup][1] We want to highlight the association of hypokalemia with rhabdomyolysis.
An 18-year-old unmarried girl presented with a history of pain in the abdomen and nonbilious vomiting of 4-day duration. This was followed by painful muscle cramps and progressive proximal muscle weakness involving all four limbs. She had no history of diarrhea, diuretic intake, fever, arthralgia, and rash. She had a similar episode of abdominal pain, vomiting, and muscle weakness 2 months prior to this illness which recovered after receiving some IV injections in a private hospital. She had never passed any urine stones. She was normotensive and nondiabetic with a normal thyroid profile. There was no history of drug intake.
On examination she had a blood pressure of...