tetano
Editor, Senior Moderator
Pediatr Int. 2012 Oct;54(5):703-5. doi: 10.1111/j.1442-200X.2012.03571.x.
Rhabdomyolysis associated with influenza A/H1N1 2009 infection in a pediatric patient.
Ishiwada N, Takada N, Okunushi T, Hishiki H, Katano H, Nakajima N, Kohno Y.
Source
Department of Pediatrics, Chiba University Hospital, Chiba Department of Pathology, National Institute of Infectious Diseases, Tokyo, Japan.
Abstract
The influenza A/H1N1 2009 epidemic has spread to many countries since 2009, including Japan. We report an immune-competent child involving rhabdomyolysis and compartment syndrome associated with influenza A/H1N1 2009. The patient was demonstrated rhabdomyolysis with myoglobinuria, hyperkalemia, cardiac dysfunction and compartment syndrome that arose during convalescence from influenza A/H1N1 2009 infection. Although RT-PCR of muscle tissue yielded negative results for influenza A/H1N1 2009 RNA and no viral positive-antigen cells were detected in the muscle lesions, the clinical picture suggested rhabdomyolysis associated with influenza A/H1N1. Rhabdomyolysis should be considered in the evaluation of muscle symptoms such as myalgia associated with novel influenza A/H1N1 2009 virus infection, particularly in critically ill patients.
? 2012 The Authors. Pediatrics International ? 2012 Japan Pediatric Society.
PMID:
23005902
[PubMed - in process]
http://www.ncbi.nlm.nih.gov/pubmed/23005902
Rhabdomyolysis associated with influenza A/H1N1 2009 infection in a pediatric patient.
Ishiwada N, Takada N, Okunushi T, Hishiki H, Katano H, Nakajima N, Kohno Y.
Source
Department of Pediatrics, Chiba University Hospital, Chiba Department of Pathology, National Institute of Infectious Diseases, Tokyo, Japan.
Abstract
The influenza A/H1N1 2009 epidemic has spread to many countries since 2009, including Japan. We report an immune-competent child involving rhabdomyolysis and compartment syndrome associated with influenza A/H1N1 2009. The patient was demonstrated rhabdomyolysis with myoglobinuria, hyperkalemia, cardiac dysfunction and compartment syndrome that arose during convalescence from influenza A/H1N1 2009 infection. Although RT-PCR of muscle tissue yielded negative results for influenza A/H1N1 2009 RNA and no viral positive-antigen cells were detected in the muscle lesions, the clinical picture suggested rhabdomyolysis associated with influenza A/H1N1. Rhabdomyolysis should be considered in the evaluation of muscle symptoms such as myalgia associated with novel influenza A/H1N1 2009 virus infection, particularly in critically ill patients.
? 2012 The Authors. Pediatrics International ? 2012 Japan Pediatric Society.
PMID:
23005902
[PubMed - in process]
http://www.ncbi.nlm.nih.gov/pubmed/23005902