A Case of Percussion Hemoglobinuria and Acute Kidney Injury
DOI:
https://doi.org/10.24950/rspmi.302Keywords:
Acute Kidney Injury/etiology, Exercise, Hemoglobinuria/etiology, HemolysisAbstract
Percussion hemoglobinuria is an underdiagnosed entity, rarely reported in the scientific literature. It is a syndrome that involves intravascular hemolysis with consequent
hemoglobinuria in musicians of manual percussion instruments when they are subjected to repetitive trauma to the hands for prolonged periods of time.
Acute kidney injury associated with percussion hemoglobinuria is usually multifactorial, related to pigment induced kidney toxicity, dehydration and consumption of non-steroidal anti-inflammatory.
We present a case of a 30-year-old patient, a percussionist musician, diagnosed with percussion hemoglobinuria
with acute kidney injury after a long-lasting and high-intensity percussion concert.
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Vasudev M, Bresnahan BA, Cohen EP, Hari PN, Hariharan S, Vasudev BS. Percussion hemoglobinuria - A novel term for hand trauma-induced mechanical hemolysis: A case report. J Med Case Rep. 2011;5:508. doi:10.1186/1752-1947-5-508
Lippi G, Sanchis-Gomar F. Epidemiological, biological and clinical update on exercise-induced hemolysis. Ann Transl Med. 2019;7:270. doi:10.21037/ atm.2019.05.41
Caro XJ, Sutherland PW, Mitchell DB, Glazener FS. Traumatic Hemoglobinuia Associated with Conga Drumming. West J Med. 1975;:141–4.
Zager RA. Rhabdomyolysis and myohemoglobinuric acute renal failure. Kidney Int. 1996;49:314–26.
Giuliani KTK, Kassianos AJ, Healy H, Gois PHF. Pigment nephropathy: Novel insights into inflammasome-mediated pathogenesis. Int J Mol Sci. 2019;20:1–23. doi:10.3390/ijms20081997
Gelpi R, Taco O, Gomà M, Grinyó JM, Fulladosa X. Energetic beating of dyembe (African drum) as a cause of acute renal failure. Nefrologia. 2013;33:601. doi:10.3265/Nefrologia.pre2012.Dec.11844
Di Nicoló P, Zuccal A, Gammaro L, Oldrizzi L. Severe acute renal failure in two hand-drummers after the same rhythmic session. Nephrol Dial Transplant Plus. 2009;2:318–9. doi: 10.1093/ndtplus/sfp049
Ramirez ME, McQuillan RF. Acute kidney injury secondary to trauma-induced hemolysis: the need for increased awareness and a preventative strategy. Am J Kidney Dis. 2017;69:320. doi: 10.1053/j.ajkd.2016.08.021
Tobal D, Olascoaga A, Moreira G, Kurdián M, Sanchez F, Roselló M, et al. Rust urine after intense hand drumming is caused by extracorpuscular hemolysis. Clin J Am Soc Nephrol. 2008;3:1022–7. doi: 10.2215/CJN.04491007
Tobal D, Olascoaga A, Sans A, Fernández C, Larre Borges P, Moreira G, et al. Pigmenturia e injuria renal aguda luego de percusión intensa de tambor. Rev Méd Uruguay. 2006;22:299–304.
Siemes C, van der Meulen J, de Jong GMT. Acute renal failure caused byprolonged djembé drumming. Nephrol Dial Transplant Plus. 2008;1:228–9. doi: 10.1093/ndtplus/sfn041
Davidson RJL. Exertional haemoglobinuria: a report on three cases with studies on he haemolytic mechanism. J Clin Pathol. 1964;:536–41.
Pu JJ, Brodsky RA. Paroxysmal nocturnal hemoglobinuria from bench to bedside. Clin Transl Sci. 2011;4:219–24. doi: 10.1111/j.1752- -8062.2011.00262.x
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