Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Oct 31;14(10):e30933.
doi: 10.7759/cureus.30933. eCollection 2022 Oct.

Rhabdomyolysis Associated With "Pruno" Prison-Made Alcohol Intake in Corrections Facility: A Case Report

Mary H Soares  1 , Guillermo Izquierdo-Pretel  2 , Lauren A Ramesar  1
Affiliations
Case Reports

Rhabdomyolysis Associated With "Pruno" Prison-Made Alcohol Intake in Corrections Facility: A Case Report

Mary H Soares et al. Cureus. .

Abstract

In this study, a case of severe rhabdomyolysis in a 28-year-old incarcerated patient is presented. The patient initially presented with emesis, abdominal pain, and myalgias to the clinic at the corrections facility and was treated with antiemetics and analgesics. The onset of symptoms occurred approximately 24 h after ingestion of an illicit substance produced by inmates. Despite intervention, the patient was eventually transferred to the hospital on the third day after symptom onset for further evaluation and treatment. The manuscript presents the events that preceded the diagnosis of rhabdomyolysis, as well as symptoms of hyperactive delirium that developed during the patient's hospital course, leading to the high suspicion of illicit substance intoxication as a contributing inciting factor of rhabdomyolysis. This study aimed to bring awareness to the medical community about substance use in the correction system and its consequences.

Keywords: alcohol withdraw in prison; hyperactive delirium; prison-made alcohol; rhabdomyolysis; “pruno”.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. CPK level trend during hospital course.
*CPK level after period of agitation. CPK: creatine phosphokinase
See this image and copyright information in PMC

References

    1. Rhabdomyolysis. Cabral BM, Edding SN, Portocarrero JP, Lerma EV. Dis Mon. 2020;66 - PubMed
    1. Rhabdomyolysis and acute renal failure after strenuous exercise and alcohol abuse: case report and literature review. Daher Ede F, Silva Júnior GB, Brunetta DM, Pontes LB, Bezerra GP. Sao Paulo Med J. 2005;123:33–37. - PMC - PubMed
    1. Rhabdomyolysis associated acute renal failure - report of two fatal cases and a brief review of literature. Das S, Hanuman SB, Mylapalli JL. J Forensic Leg Med. 2020;71 - PubMed
    1. Fatal exertional rhabdomyolysis. Literature review and our experience in forensic thanatology. Paternoster M, Capasso E, Di Lorenzo P, Mansueto G. Leg Med (Tokyo) 2018;35:12–17. - PubMed
    1. Case series of exercise-induced rhabdomyolysis in the New York City jail system. MacDonald R, Rosner Z, Venters H. Am J Emerg Med. 2014;32:466–467. - PubMed

Publication types

LinkOut - more resources