Summary:
Rhabdomyolysis can be defined as the destruction of striated muscle cells
provoked by many causes. A typical clinical feature is muscular pain, often
accompanied with impaired conciousness. The laboratory diagnosis is
based on the occurrence of increased serum level of creatinkinase and
myoglobine. We present a case of a 75-year-old male with Parkinson’s
disease where signs of rhabdomyolysis appeared several hours after the
intravenous application of tiapride (100 mg). The impairment of consciousness
and muscular pain were the first clinical symptoms of rhabdomyolysis
in our patient. The increased levels of creatinekinase (max. 62.41
μkat/l) and myoglobine (max. 3412 μg/l) were found in serum. Clinically, it
is important to emphasize that rhabdomyolysis can be caused by several
commonly used doses of atypical antipsychotics, for example, tiapride.
Key words:
tiapride, rhabdomyolysis, Parkinson’s disease
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