Viral myositis leading to rhabdomyolysis: a case report and literature review☆
Michael D. Nauss, MD
Department of Emergency Medicine, University of Cincinnati, 231 Albert Sabin Way, PO Box 670769, Cincinnati, OH 45267-0769, USA
Erin L. Schmidt, MD
Department of Anesthesiology, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH 45267, USA
Department of Emergency Medicine, University of Cincinnati, 231 Albert Sabin Way, PO Box 670769, Cincinnati, OH 45267-0769, USA
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Fig. 1
Urine sample. (Photo courtesy of Dr. G. Suarez)
Viral infections are associated with a wide clinical spectrum of muscular syndromes, ranging from myalgias to rhabdomyolysis with renal failure. Viral myositis progressing to rhabdomyolysis is uncommon but is associated with life-threatening complications such as hyperkalemia and acute renal failure. Several viruses have been implicated in rhabdomyolysis: influenza A/B, parainfluenza, coxsackie, Epstein-Barr, herpes simplex, adenovirus, and cytomegalovirus. We report a case of severe rhadomyolysis after a viral upper respiratory infection.
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☆No grants were used to support this publication.
© 2009 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
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