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Severe cases of renal failure may require a kidney transplant. Summary. Rhabdomyolysis is a potentially lethal syndrome with a broad spectrum of causes and symptoms. The clinical symptoms vary widely from myalgia to severe muscle weakness with involvement of other organ symptoms.
Activation of the coagulation system may precipitate disseminated intravascular coagulation. High potassium levels may lead to potentially fatal disruptions in heart rhythm. Phosphate binds to calcium from the circulation, leading to low calcium levels in the blood. Rhabdomyolysis may cause kidney failure by several mechanisms. The most important is the accumulation of myoglobin in the kidney tubules. Normally, the blood protein haptoglobin binds circulating myoglobin and other heme-containing substances, but in rhabdomyolysis the quantity of myoglobin exceeds the binding capacity of haptoglobin.