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Pigmenturia from Conga Drumming: Hemoglobinuria and Myoglobinuria

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▸Requests for reprints should be addressed to Bruce Furie, M.D., Hematology Section, Department of Medicine, Upstate Medical Center, State University of New York, Syracuse, NY 13210.

Philadelphia, Pennsylvania

Ann Intern Med. 1974;80(6):727-729. doi:10.7326/0003-4819-80-6-727
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A young man developed pigmenturia after conga drumming. The pigmented urine contained myoglobin, identified by Ouchterlony immunodiffusion with rabbit anti-human myoglobin immune serum, and hemoglobin, identified by Ouchterlony immunodiffusion with goat anti-human hemoglobin immune serum and by polyacrylamide gel electrophoresis of the hemoglobin-haptoglobin complex. Concentrations of myoglobin and hemoglobin in the patient's urine were approximately 17 µg/ml and 2 mg/ml, respectively. The urine findings, a minimal rise in the serum creatine phosphokinase and glutamic-oxalacetic transaminase levels, a marked fall in serum haptoglobin, and a marked rise in serum hemoglobin during a planned drumming session suggest that myoglobinuria and hemoglobinuria may be caused by the exercise and severe hand trauma associated with conga drumming.





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