Rhabdomyolyse secondaire à la prise de cocaïne : A propos d’un cas Rhabdomyolysis after taking cocaine: about a case

Nadir Zemraoui [1a], Said Kaddouri [2], Marouane Belarbi [1b], Ahmed Alayoud [1c], Rachid Seddiki [3], Aziz Rbaibi [4].
Page No. 32-36

The diagnosis of acute rhabdomyolysis of toxic origin and, in particular, when it is due to
stimulants psychos is often overlooked. Early diagnosis allows the prevention of possible
complications, including kidney.The incidence of drug-induced rhabdomyolysis is uncertain
because most cases are not reported. As the mortality rate is unknown.
We present this observation in order to draw attention to this syndrome, which has been so far,
often overlooked but is likely to become increasingly common in the coming years because cocaine
is increasingly consumption especially among young people.The observation concerns a 22 year
old patient with no history especially living in India for four months using cocaine and cannabis
regularly admitted to a poor general condition with impotence of the right leg. Clinical examination
noted a significant extracellular dehydration and biologically stigma of rhabdomyolysis with
hyperkalemia. Good clinical and biological evolution after medical treatment and three sessions of
dialysis.If the outcome was favorable for our patient this is not always the case in the literature
given the large number of complications that can be induced by this drug.
Clinical and biological classification of Brody et al can be used as a simple tool to aid in the
management prognostic and therapeutic management.The etiological diagnosis of rhabdomyolysis
this allows a cure preventive and especially through an outlet addictologique.