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A 26-year-old man had sudden fever and chills with severe muscle pain and weakness in his legs and pectoral muscles while mountaineering in the Andes. He was brought to a local hospital, where he received hemodialysis three times because of anuria and a rapid rise in the serum creatinine level before being transferred to our unit. The following laboratory values were recorded on admission to our unit: creatinine, 10.5 mg per deciliter (928 µmol per liter); blood urea nitrogen, 85 mg per deciliter (30.3 mmol per liter); creatine kinase, 1990 U per liter; calcium, 8.16 mg per deciliter (2.04 mmol . . . [Full Text of this Article] |
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