A 67-year-old male was presented to the clinic with worsening myalgia and weakness in his shoulders and lower limbs, resulting in reduced mobility. In addition, he had an H/o severe COPD and ischemic heart disease. On examination, proximal myopathy was noted (MRC Grade 4/5) with hip flexion and extension weakness and shoulder abduction and adduction (MRC Grade 4+/5).&nbsp;

Regular medication included simvastatin 80 mg daily. On investigation, the patient had started clarithromycin 250 mg daily for one month. It was prescribed on a prophylactic basis to reduce COPD exacerbations.

Laboratory investigations revealed a creatine kinase level of 62-109, AST 20-36, ALT 11-45, creatinine 63 and potassium 4.4. The patient&#39;s condition got complicated by hyperkalaemia (7.4 mmol/L), requiring repeated treatment with insulin/dextrose and calcium. In addition, calcium gluconate was administered for cardio-stabilization. These reports confirmed the Rhabdomyolysis condition.

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Explore a case of rhabdomyolysis in a 67-year-old male with COPD, detailing symptoms, treatment, and laboratory findings.

Rhabdomyolysis Case Study in COPD Patient

Worsening myalgia and weakness in his shoulders and lower limbs,

Clinical case discussion shared for educational purposes and professional medical opinion.

Worsening myalgia and wea...