This paper is only available as a PDF. To read, Please Download here.
Abstract
Rhabdomyolysis is a syndrome often associated with alcohol and drug abuse. It may
also be seen following viral infections, but is a complication not often considered.
We report a case of severe rhabdomyolysis following an influenza-like illness. Despite
the extreme elevation of creatinine phosphokinase, 230,600 IU/L, this patient did
not develop acute renal failure in contrast to most of the previously documented case
reports of rhabdomyolysis associated with influenza virus. This case report illustrates
the difficulty in predicting which patients are at risk for developing acute renal
failure and emphasizes the need for aggressive treatment of any patient, suspected
of having rhabdomyolysis.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The spectrum of rhabdomyolysis.Medicine. 1982; 61: 141-152
- Drug- and toxin-induced rhabdomyolysis.Ann Emerg Med. 1989; 18: 1066-1084
- Rhabdomyolysis, myoglobinuria and exercise.Sports Med. 1988; 6: 93-106
- Metabolic causes of myoglobinuria.Ann Neuro. 1990; 27: 181-185
- Massive rhabdomyolysis associated with influenza A infection.Int Med (Japan). 1994; 33: 450-453
- Influenza A infection with rhabdomyolysis and acute renal failure—a potentially fatal complication.Postgrad Med J. 1991; 67: 389-390
- Influenza A and rhabdomyolysis.J Infect. 1990; 21: 303-304
- Influenza-associated rhabdomyolysis in a child.Pediatr Infect Dis J. 1990; 9: 60-61
- Influenza-associated myoglobinuric renal failure.JAMA. 1979; 242: 2428-2429
- Rhabdomyolysis associated with influenza A.J Pediatr. 1977; 91: 943-945
- Influenza A viral infection associated with acute renal failure.Am J Med. 1976; 61: 697-702
- Myoglobinuria and renal failure associated with influenza.Ann Intern Med. 1974; 80: 362-363
- Myoglobinuria associated with influenza A infection.Ann Intern Med. 1974; 80: 359-361
- Acute myoglobinuria associated with type A2 (Hong Kong) influenza.JAMA. 1970; 212: 1704-1705
- Rhabdomyolysis and lower extremity compartment syndrome due to influenza B virus.Ann Plast Surg. 1993; 30: 272-273
- Rhabdomyolysis and myoglobinuria.in: 2nd ed. Semin Nephrol. 1. 1981: 75-86
- Rhabdomyolysis.in: Rosen P Barken RM Emergency medicine: concepts and clinical practice. Mosby-Year Book Inc, St. Louis1992: 2232-2241
- Evaluation of the renal toxicity of heme pigments and their derivatives. A role in the genesis of acute tubular necrosis.J Exp Med. 1970; 131: 443-460
- The production of renal failure following injection of solutions containing myohemoglobin.L Exp Physiol. 1944; 33: 53
- Acute renal failure and rhabdomyolysis.Kidney Int. 1983; 23: 888-898
- Crush injuries with impairment of renal function.Br Med J. 1941; 1: 427-432
- Prevention of acute renal failure in traumatic rhabdomyolysis.Arch Intern Med. 1984; 144: 277-280
Article info
Publication history
Accepted:
February 5,
1996
Received in revised form:
January 22,
1996
Received:
August 30,
1995
Footnotes
☆Clinical Communications (Adults) is coordinated by Ron M. Walls, md, of Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Identification
Copyright
© 1996 Published by Elsevier Inc.
