Acute kidney injury and rhabdomyolysis induced by severe hypothyroidism. Case report

Florencia Brust, Servicio de Nefrología, Clínica Pasteur, Neuquén Capital, Argentina
Oscar Escobar, Servicio de Nefrología, Clínica Pasteur, Neuquén Capital, Argentina
Jennifer Nichols, Servicio de Nefrología, Clínica Pasteur, Neuquén Capital, Argentina
Vicente Campolo-Girard, Servicio de Nefrología, Clínica Pasteur, Neuquén Capital, Argentina

Acute kidney injury (AKI) caused by hypothyroidism-induced rhabdomyolysis is a rare and severe syndrome. We present a 67-year-old male with heart failure on chronic statin therapy who developed nontraumatic rhabdomyolysis due to severehypothyroidism secondary to Hashimoto’s thyroiditis. Despite initial treatment with fluids and urinary alkalinization, he requiredkidney support therapy (KST). Early diagnosis of hypothyroidism and intravenous levothyroxine led to the recovery of renalfunction and dialysis discontinuation. This case highlights the importance of considering hypothyroidism in patients with AKIand rhabdomyolysis of uncertain origin.

Keywords: Acute kidney injury (AKI). Rhabdomyolysis. Hypothyroidism.