Life-threatening complications of chronic alcoholism: the attention to the compartment syndrome (a clinical observation)

Authors

  • M.V. Bondar Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine; Bogomolets National Medical University, Kyiv, Ukraine; Oleksandrivska City Clinical Hospital, Kyiv, Ukraine
  • M.M. Pylypenko Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine; Bogomolets National Medical University, Kyiv, Ukraine; Oleksandrivska City Clinical Hospital, Kyiv, Ukraine
  • M.M. Prokopiv Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine; Bogomolets National Medical University, Kyiv, Ukraine; Oleksandrivska City Clinical Hospital, Kyiv, Ukraine
  • L.M. Trepet Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine; Bogomolets National Medical University, Kyiv, Ukraine; Oleksandrivska City Clinical Hospital, Kyiv, Ukraine
  • G.S. Trepet Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine; Bogomolets National Medical University, Kyiv, Ukraine; Oleksandrivska City Clinical Hospital, Kyiv, Ukraine
  • O.Yu. Yelska Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine; Bogomolets National Medical University, Kyiv, Ukraine; Oleksandrivska City Clinical Hospital, Kyiv, Ukraine
  • O.A. Polonevich Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine; Bogomolets National Medical University, Kyiv, Ukraine; Oleksandrivska City Clinical Hospital, Kyiv, Ukraine

DOI:

https://doi.org/10.22141/2224-0586.16.2.2020.203152

Keywords:

ethyl alcohol, chronic alcoholism, Wernicke-Korsakoff syndrome, acute cerebrovascular accident, compartment syndrome, acute renal failure, rhabdomyolysis, creatine phosphokinase

Abstract

The article presents the biochemical mechanism of narcotic and toxic effects of ethyl alcohol on the human body, lists the life-threatening complications of chronic abuse of ethyl alcohol with a focus on the compartment syndrome. At the end of the article, a clinical observation is presented, in which the compartment syndrome was masked under the diagnosis of acute cerebrovascular accident for a week, and the patient recovered after three sessions of renal replacement therapy. Attention is drawn to the need for a thorough external examination of patients with alcohol intoxication. All patients admitted to the clinic with acute alcohol intoxication should be screened for rhabdomyolysis.

Downloads

Download data is not yet available.

References

Бондар М.В., Пилипенко М.М., Овсієнко Т.В., Невмержицький І.М. Гіпертермічні синдроми: етіологія, патогенез, діагностика та інтенсивна терапія. Медицина невідкладних станів. 2018. № 2(89). С. 11-22.

Васильєв Г.О., Васильєв А.Г., Недашківський С.М. Синдром травматичного здавлювання/роздавлювання (краш-синдром). Медицина невідкладних станів. 2013. № 7(54). С. 15-21.

Новикова Р.И., Шраменко Е.К., Кузнецова И.В. Синдром длительного сдавления. В кн.: Интенсивная терапия при неотложных состояниях. Под ред. проф. В.И. Черния, проф. Р.И. Новиковой. Киев: Здоровье, 2004. С. 243-257.

Худошин В.К., Марков Ю.І. Синдром тривалого стиснення. В кн.: Зозуля І.С., Вершигора А.В., Боброва В.І. та ін. Швидка і невідкладна медична допомога; за ред. проф. І.С. Зозулі. Київ: ВСВ «Медицина», 2012. С. 50-55.

Чепкий Л.П., Новицька-Усенко Л.В., Ткаченко Р.О. Синдром тривалого роздавлювання. В кн.: Анестезіологія та інтенсивна терапія. Киев: Вища школа, 2003. С. 232-234.

Tsai J.P., Lee C.J., Subeq Y.M. et al. Acute Alcohol Intoxication Exacerbates Rhabdomyolysis-Induced Acute Renal. Failure in Rats. Int. J. Med. Sci. 2017. 14(7). Р. 680-689.

Qiu L.L., Nalin P., Huffman Q. et al. Nontraumatic rhabdomyolysis with long-termalcohol intoxication. Sneed J. Am. Board Fam. Pract. 2004. 17(1). Р. 54-8.

Papadatos S.S., Deligiannis G., Bazoukis G. et al. Nontraumatic rhabdomyolysis with short-term alcohol intoxication — a case report. Clin. Case Rep. 2015. 3(10). Р. 769-72.

Zhenliang Fan, Jie Yun, Shanshan Yu еt al. Alcohol Consumption Can be a “Double-Edged Sword” for Chronic Kidney Di­sease Patients. Med. Sci. Monit. 2019. 25. Р. 7059-7072.

Zimmerman J.L., Shen M.C. Rhabdomyolysis. Chest. 2013. 144. Р. 1058-1065.

Published

2021-09-30

How to Cite

Bondar, M., Pylypenko, M., Prokopiv, M., Trepet, L., Trepet, G., Yelska, O., & Polonevich, O. (2021). Life-threatening complications of chronic alcoholism: the attention to the compartment syndrome (a clinical observation). EMERGENCY MEDICINE, 16(2), 87–94. https://doi.org/10.22141/2224-0586.16.2.2020.203152

Issue

Section

Case Study

Most read articles by the same author(s)

1 2 3 4 > >>