MB and acute respiratory distress syndrome: On the next day his temperature was 40.7°C, heart rate 156 beats/min and blood pressure 113/61 mmHg; he was diagnosed with acute respiratory distress syndrome (ARDS), acute renal failure, rhabdomyolysis with repeat CK levels of 12516 U/L and urinary myoglobin levels 936000 μg/L (n = up to 1000).