BRUCE FURIE, M.D.; AUDREY S. PENN, M.D.
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.
FURIE B, PENN AS. Pigmenturia from Conga Drumming: Hemoglobinuria and Myoglobinuria. Ann Intern Med. 1974;80:727–729. doi: 10.7326/0003-4819-80-6-727
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Published: Ann Intern Med. 1974;80(6):727-729.
Nephrology, Urological Disorders.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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