On transfer to our facility, the patient was not seizing, his vital signs were stable, and physical examination was notable only for reduced deep tendon reflexes on the left side. His BP was 141/83 mm Hg, and no periods of hypotension were recognized before, during, or after intubation. The following laboratory values were elevated: blood urea nitrogen (53 mg/dL), serum creatinine (1.6 mg/dL), serum creatine kinase (CK) (193 U/L), and myoglobin (826 ng/mL). The initial urinalysis results revealed yellow, cloudy urine with a pH of 5.5, specific gravity of 1.005, 3+ glucose, and 1+ blood with 16 uric acid crystals, one WBC, and two RBCs per high-power field. The following tests had negative or normal results: ketones, protein, urobilinogen, bilirubin, leukocyte esterase, and nitrite.