"ONE HUNDRED AND THIRTY-FIVE HOURS UNDER THE RUIN : A CASE WITH TRAUMATIC RHABDOMYOLYSIS IN GÖLCÜK EARTHQUAKE"

Crush syndrome is seen in approximately fifty percent of patients rescued from the ruins of buildings. The appropriate and urgent therapy is life-saving during and after the rescue process. A 52-year-old woman, rescued from the ruin 135 hours after Gölcük disaster, is reported. She had two large gluteal necrotic wounds due to pressure, findings of traumatic rhabdomyolysis (creatine kinase: 4960U/L, lactate dehydrogenase: 1743U/L, aspartate aminotransferase: 166U/L), dehydration and acute renal failure (urea: I98mg/dl, creatinine: 3.6mg/dl). She had no metabolic abnormalities such as hyperkalemia, hyperphosphatemia, hypocalcemia, hyperuricemia, myoglobinuria except hypoalbuminemia. Acute renal failure had improved in nineteen days with appropriate fluid therapy, albumine infusions and antimicrobials. She had not needed any dialysis treatment. It was concluded to report this unique case becu.se none of the former survivors had similar properties.