Rhabdomyolysis induced by Boiled cola consumption

Document Type : Short Reports (case reports)

Authors

1 Internal Medicine Department, Faculty of Medicine, Aswan University

2 Internal Medicine Department, Faculty of Medicine for Girl, Al-Azhar University, Cairo

Abstract

Background: Rhabdomyolysis is a medical condition ranges from an asymptomatic illness to a life-threatening condition. Misoprostol is a prostaglandin E1 analogue used for induction of abortion in both early and advanced stages of pregnancy. In this report, we show a completely different cause of rhabdomyolysis and acute kidney injury with good outcome.
Case presentation: We present a case of 33- year-old Egyptian lady, pregnant in her 2nd month; she planned for abortion, so she received 2 tablets of misoprostol (400 mcg) and 4 cans of boiled cola per day for 5 days. On the 6th day; she presented to emergency room (ER) by vaginal bleeding, abdominal pain, diarrhea, fever, jaundice and dark urine.

Conclusion: This is a rare case of rhabdomyolysis of unclear cause, which may be secondary to misoprostol toxicity induced by boiled cola or direct effect of frequent used boiled cola.
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Keywords: boiled cola, abortion induction, rhabdomyolysis, case report.

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Aswan University Medical Journal
Volume 5, Issue 2
June 2025
Pages 141-147

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