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Mild rhabdomyolysis in a child with fever and "hematuria"

Velibor Tasic1, Vladimir Avramoski, Petar Korneti

  • 1Department of Pediatric Nephrology, Clinic for Children's Diseases, Medical School Skopje, 17 Vodnjanska, 1000, Skopje, Macedonia. vtasic@freemail.com.mk

Pediatric Nephrology (Berlin, Germany)
|May 9, 2003
PubMed

Insights

This case study shows a 3-year-old girl with mild rhabdomyolysis (muscle breakdown) who recovered fully with outpatient treatment. Early diagnosis and management led to a favorable outcome, preventing recurrence.

Area of Science:

  • Pediatric Medicine
  • Nephrology
  • Biochemistry

Background:

  • Rhabdomyolysis is a serious condition involving muscle cell breakdown and release of myoglobin into the plasma.
  • Prompt diagnosis and management are crucial for favorable outcomes.

Observation:

  • A 3-year-old girl presented with high fever, anorexia, thigh pain, and dark-red urine.
  • Urinalysis showed myoglobinuria without red blood cells, confirmed by elevated serum creatine kinase.

Findings:

  • The patient was diagnosed with mild rhabdomyolysis.
  • Outpatient treatment resulted in complete clinical and biochemical recovery.
  • No recurrence of myoglobinuria was observed during a 2-year follow-up period.

Implications:

  • Mild rhabdomyolysis in children can be managed effectively on an outpatient basis.
  • This case highlights the importance of recognizing and treating pediatric rhabdomyolysis promptly.
  • Successful management can lead to full recovery and prevent long-term complications.

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