Rhabdomyolysis-Induced Acute Renal Failure Following Fenofibrate Therapy: A Case Report and Literature Review


Danis R., Akbulut S., Ozmen S., Arikan S.

CASE REPORTS IN MEDICINE, vol.2010, 2010 (ESCI) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 2010
  • Publication Date: 2010
  • Doi Number: 10.1155/2010/537818
  • Journal Name: CASE REPORTS IN MEDICINE
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Inonu University Affiliated: Yes

Abstract

Fenofibrate, a fibric acid derivative, is used to treat diabetic dyslipidemia, hypertriglyceridemia, and combined hyperlipidemia, administered alone or in combination with statins. Rhabdomyolysis is defined as a pathological condition involving skeletalmuscle cell damage leading to the release of toxic intracellular material into circulation. Its major causes include muscle compression or overexertion; trauma; ischemia; toxins; cocaine, alcohol, and drug use; metabolic disorders; infections. However, rhabdomyolysis associated with fenofibrate is extremely rare. Herein we report a 45-year-old female patient who was referred to our department because of generalizedmuscle pain, fatigue, weakness, and oliguria over the preceding 3 weeks. On the basis of the pathogenesis and clinical and laboratory examinations, a diagnosis of acute renal failure secondary to fenofibrate-induced rhabdomyolysis wasmade. Weekly followups for patients who are administered fenofibrate are the most important way to prevent possible complications.