Rhabdomyolysis secondary to influenza virus infection

Authors

  • Victor Garcia Nuñez Instituto de Infectologia Emilio Ribas, São Paulo - SP - Brasil.
  • Lívia Vieira de Almeida Instituto de Infectologia Emilio Ribas, São Paulo - SP - Brasil.
  • Abimael Coutinho da Silva Instituto de Infectologia Emilio Ribas, São Paulo - SP - Brasil.
  • Isabela Della Torre Oliveira Instituto de Infectologia Emilio Ribas, São Paulo - SP - Brasil.
  • Natália Totti Martins Instituto de Infectologia Emilio Ribas, São Paulo - SP - Brasil.
  • Yago Caetano de Sousa Almeida Instituto de Infectologia Emilio Ribas, São Paulo - SP - Brasil.

DOI:

https://doi.org/10.5935/2764-734X.e20240139

Keywords:

Influenza Human, Rhabdomyolysis, Influenza A Virus, H1N1 Subtype, Creatine Kinase, Case Report

Abstract

Rhabdomyolysis is a potentially serious condition that may result from influenza infection. We report the case of a 32-year-old man with no comorbidities who presented with fever, myalgia, and dark urine that had been developing for 4 days, followed by cough and runny nose. The tests showed a significant increase in creatine phosphokinase (64,617 U/L) and transaminases. Before specific confirmation of Influenza A and B infection, the main diagnostic hypotheses to justify the condition were infectious etiology, particularly leptospirosis and acute viral hepatitis. Apart from ceftriaxone medication for 10 days, the patient received early vigorous intravenous hydration that contributed to favorable progression of the clinical presentation and laboratory results and to the absence of kidney damage.

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Published

2024-04-30

How to Cite

Garcia Nuñez, V., Almeida, L. V. de, Silva, A. C. da, Oliveira, I. D. T., Martins, N. T., & Almeida, Y. C. de S. (2024). Rhabdomyolysis secondary to influenza virus infection. Infections in Evidence, 3, e20240139. https://doi.org/10.5935/2764-734X.e20240139

Issue

Section

Case Reports