Fulminant crural compartment syndrome preceded by psychogenic polydipsia

BMJ Case Rep. 2015 May 14:2015:bcr2014208603. doi: 10.1136/bcr-2014-208603.

Abstract

We report a case of bilateral anterolateral crural compartment syndrome elicited by hyponatraemia and psychogenic polydipsia. The unusual constellation of clinical findings and diminished pain expression made initial diagnostic procedures challenging. The possible pathogenesis and treatment options are discussed. Impairment of lower extremity function at follow-up was serious and permanent.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anterior Compartment Syndrome / diagnosis*
  • Anterior Compartment Syndrome / etiology
  • Anterior Compartment Syndrome / therapy
  • Anti-Bacterial Agents / therapeutic use*
  • Foot Orthoses
  • Humans
  • Male
  • Polydipsia, Psychogenic / complications
  • Polydipsia, Psychogenic / diagnosis*
  • Polydipsia, Psychogenic / therapy
  • Rhabdomyolysis / complications
  • Schizophrenia, Paranoid
  • Treatment Outcome
  • Water Intoxication / complications
  • Water Intoxication / diagnosis*
  • Water Intoxication / therapy

Substances

  • Anti-Bacterial Agents