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Dr House, what will be those leg cramps Bob?
Robert, called Bob, has just been released from a complicated era, full of worries, a month at home, a strong asthmatic bronchitis , exhaustion and a diagnosis that did not arrive. For two days he feels much better and his doctor told him that he had finally identified the pathogen: Mycoplasma Pneumoniae. The IgG is very high and the IgM just high had allowed, excluding other pathogens, to provide an answer to his illness, which fortunately is only an unpleasant memory. However the trouble continues, finished the breathing problems have started and the annoying cramps, in the legs and abdomen.

he Thought of to solve it with mineral salts, but nothing. For this Bob comes back from the doctor, who worried prescribes a series of investigations: CPK, AST, ALT, Gamma GT, and serum electrolytes. In addition to this, asks him if he has taken medicines or supplements. "Nothing of that, only a mild laxative since they were 4 days that I was not going to the bathroom". Do not assume statins, or natural substances containing these substances. After two days they come as the results, CPK over 2,000, normal alt, gamma gt slightly altered, hypokalemia is not severe.

The doctor reads it and says: "My dear Roberto, unfortunately it does not end here, the hypokalemia mild we can explain with the laxative that you have taken, but these CPK is so high no". A need for additional analysis and an ultrasound scan because I have a strong suspicion of another problem.
As a result of analyses prescribed by the doctor? Which ultrasound?What has Bob?

*Doctor of general medicine, vice president Fimmg


YOUR ANSWERS

it Will be prescribed to Bob for a thyroid ultrasound, that will highlight a thyroiditis , which resulted in the increase of CPK
Gian Giacomo Pisotti

Hypothyroidism
Giulia Barranco

Echocardiography
Myocarditis by mycoplasma

Rhabdomyolysis from Pneumonia due to Mycoplasma Pneumoniae
Daniela Steering wheel

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