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Case Three was a
patient who presented with possible masseter muscle rigidity (MMR). After succinylcholine
and propofol were given, the anesthesiologist tried to intubate the patient�s trachea.
This was unsuccessful after three attempts. No generalized rigidity was noted. The case
was cancelled. 5 hours later, the patient complained of severe myalgia. Urine was noted to
be very dark red with �large� blood. Laboratory work-up showed: creatine kinase (CK)
of 56,000 IU, and K+ of 4.4 mEq/l . Heart rate, temperature and other vital
signs were normal throughout this episode. The following day: CK was 99,000 IU. Urine was
clear and creatinine was normal. This case, therefore, presented with myalgia and
rhabdomyolysis only without increased metabolism. Was Case Three MH? |