Severe rhabdomyolysis secondary to adenovirus infection: case report and literature review.
A 38-year-old male presented with renal failure in the setting of a flu-like illness. Urinalysis showed myoglobinuria and granular casts. His serum creatine phosphokinase was markedly elevated. He was diagnosed with rhabdomyolysis and was volume resuscitated with normal saline and bicarbonate-containing fluid. Workup included a respiratory viral panel which was positive for adenovirus. Other causes such as trauma, seizure, and intoxicants were excluded. He developed progressive renal failure necessitating hemodialysis. After ~ 4 weeks he recovered renal function and dialysis was discontinued. Viral-induced myopathy should be suspected in patients who present with rhabdomyolysis.
Published In/Presented At
Tseytlin, D. Maynard, S. (2016, Apr). Severe rhabdomyolysis secondary to adenovirus infection: case report and literature review. Clinical Nephrology. 85(4):245-250. doi: 10.5414/CN108649.
Department of Medicine, Department of Medicine Faculty, Department of Medicine Fellows and Residents