Rhabdomyolysis (RM) is a pathophysiological process in which creatine kinase and myoglobin from skeletal muscle cells are released into circulation, leading to lethal acute kidney injury (AKI), hypovolemic shock, electrolyte distur- bances and disseminated intravascular coagulation. Although injuries were the first reported and best-known reason for RM, infection currently contributes to approxi- mately 5% of RM [1,2]. Transrectal ultrasound (TRUS)- guided prostate biopsy is the most common and important clinical procedure for diagnosing prostate cancer [3]. After a biopsy, hematuria and hematospermia are common but typically mild and self-limiting [4]. Other unusual compli- cations, such as severe rectal bleeding, prostatic abscess and meningitis, have been reported [5e7]. However, rhabdomyolysis after conventional TRUS biopsy is very rare. We report one such case here.
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