Extreme Ultra-Trail Race Induces Muscular Damage, Risk for Acute Kidney Injury and Hyponatremia: A Case Report

A case study involving a healthy trained male athlete who completed a 786 km multi-stage ultra-trail race. Several markers were analyzed in blood and urine samples: creatinine (SCR) for kidney damage, sodium ([Na<sup>+</sup>]) for hyponatremia, creatine kinase (CK) for exertional rhabdom...

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Autores principales:	Miguel Lecina, Isaac López, Carlos Castellar, Francisco Pradas
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	multi-stage endurance sport renal impairment fluid replacement electrolyte disbalance muscle damage Medicine R
Acceso en línea:	https://doaj.org/article/478306f24c0744e79d2007fdb4b5d1ad
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spelling	oai:doaj.org-article:478306f24c0744e79d2007fdb4b5d1ad2021-11-11T16:27:57ZExtreme Ultra-Trail Race Induces Muscular Damage, Risk for Acute Kidney Injury and Hyponatremia: A Case Report10.3390/ijerph1821113231660-46011661-7827https://doaj.org/article/478306f24c0744e79d2007fdb4b5d1ad2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11323https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601A case study involving a healthy trained male athlete who completed a 786 km multi-stage ultra-trail race. Several markers were analyzed in blood and urine samples: creatinine (SCR) for kidney damage, sodium ([Na<sup>+</sup>]) for hyponatremia, creatine kinase (CK) for exertional rhabdomyolysis, as well as other hematological values. Samples were taken before and after the race and during the recovery period (days 2 and 9 after the race). Results showed: SCR = 1.13 mg/dl, [Na<sup>+</sup>] =139 mmol/l and CK = 1.099 UI/l. Criteria for the determination of acute kidney damage were not met, and [Na+] concentration was above 135 mEq/L, indicating the absence of hyponatremia. Exertional rhabdomyolysis was suffered by the athlete (baseline CK increased fivefold), though this situation was reverted after 9 days of recovery. Ultra-trail races cause biochemical changes in athletes, which should be known about by healthcare professionals.Miguel LecinaIsaac LópezCarlos CastellarFrancisco PradasMDPI AGarticlemulti-stage endurance sportrenal impairmentfluid replacementelectrolyte disbalancemuscle damageMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11323, p 11323 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	multi-stage endurance sport renal impairment fluid replacement electrolyte disbalance muscle damage Medicine R
spellingShingle	multi-stage endurance sport renal impairment fluid replacement electrolyte disbalance muscle damage Medicine R Miguel Lecina Isaac López Carlos Castellar Francisco Pradas Extreme Ultra-Trail Race Induces Muscular Damage, Risk for Acute Kidney Injury and Hyponatremia: A Case Report
description	A case study involving a healthy trained male athlete who completed a 786 km multi-stage ultra-trail race. Several markers were analyzed in blood and urine samples: creatinine (SCR) for kidney damage, sodium ([Na<sup>+</sup>]) for hyponatremia, creatine kinase (CK) for exertional rhabdomyolysis, as well as other hematological values. Samples were taken before and after the race and during the recovery period (days 2 and 9 after the race). Results showed: SCR = 1.13 mg/dl, [Na<sup>+</sup>] =139 mmol/l and CK = 1.099 UI/l. Criteria for the determination of acute kidney damage were not met, and [Na+] concentration was above 135 mEq/L, indicating the absence of hyponatremia. Exertional rhabdomyolysis was suffered by the athlete (baseline CK increased fivefold), though this situation was reverted after 9 days of recovery. Ultra-trail races cause biochemical changes in athletes, which should be known about by healthcare professionals.
format	article
author	Miguel Lecina Isaac López Carlos Castellar Francisco Pradas
author_facet	Miguel Lecina Isaac López Carlos Castellar Francisco Pradas
author_sort	Miguel Lecina
title	Extreme Ultra-Trail Race Induces Muscular Damage, Risk for Acute Kidney Injury and Hyponatremia: A Case Report
title_short	Extreme Ultra-Trail Race Induces Muscular Damage, Risk for Acute Kidney Injury and Hyponatremia: A Case Report
title_full	Extreme Ultra-Trail Race Induces Muscular Damage, Risk for Acute Kidney Injury and Hyponatremia: A Case Report
title_fullStr	Extreme Ultra-Trail Race Induces Muscular Damage, Risk for Acute Kidney Injury and Hyponatremia: A Case Report
title_full_unstemmed	Extreme Ultra-Trail Race Induces Muscular Damage, Risk for Acute Kidney Injury and Hyponatremia: A Case Report
title_sort	extreme ultra-trail race induces muscular damage, risk for acute kidney injury and hyponatremia: a case report
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/478306f24c0744e79d2007fdb4b5d1ad
work_keys_str_mv	AT miguellecina extremeultratrailraceinducesmusculardamageriskforacutekidneyinjuryandhyponatremiaacasereport AT isaaclopez extremeultratrailraceinducesmusculardamageriskforacutekidneyinjuryandhyponatremiaacasereport AT carloscastellar extremeultratrailraceinducesmusculardamageriskforacutekidneyinjuryandhyponatremiaacasereport AT franciscopradas extremeultratrailraceinducesmusculardamageriskforacutekidneyinjuryandhyponatremiaacasereport
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Extreme Ultra-Trail Race Induces Muscular Damage, Risk for Acute Kidney Injury and Hyponatremia: A Case Report

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