TY - JOUR T1 - Binge alcohol consumption leading to hypokalemic rhabdomyolysis JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2019-229307 VL - 12 IS - 5 SP - e229307 AU - Manjit Mahendran AU - Shubham Agarwal AU - Animesh Ray AU - Naval Kishore Vikram Y1 - 2019/05/01 UR - http://casereports.bmj.com/content/12/5/e229307.abstract N2 - A 43-year-old man presented with acute onset rapidly progressive weakness in all four limbs (proximal greater than distal), following an episode of binge alcohol ingestion, and was admitted for evaluation and management. There was a history of decreased urine output since 2 days with dark-coloured urine. He was found to have severe hypokalemia and renal dysfunction. Serum creatine kinase was significantly high, and further investigation revealed significantly elevated serum and urine myoglobin levels suggestive of rhabdomyolysis, which was secondary to severe hypokalemia. Following supplementation with intravenous and oral potassium and supportive care, the weakness improved significantly, and he was subsequently discharged. This case describes severe hypokalemia, resulting in rhabdomyolysis and generalised lower motor neuron weakness, in a setting of binge alcohol ingestion, which is an entity rarely described in literature. ER -