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Influenza A-associated rhabdomyolysis with acute renal failure
A M Dworschak1, B Wiebe, U Pohlmann
1Department of Neonatalogy and Pediatric Intensive Care, Asklepios Children's Hospital St. Augustin, Germany.
Insights
Influenza A can cause rhabdomyolysis and acute kidney injury in children, a rare but serious complication. Prompt diagnosis and supportive care are crucial for recovery, as demonstrated in a 9-year-old patient.
Area of Science:
- Pediatric Nephrology
- Infectious Diseases
- Critical Care Medicine
Background:
- Rhabdomyolysis leading to acute renal failure is a rare complication of influenza A, primarily documented in adults.
- Recognizing this severe complication in pediatric influenza cases is critical due to potentially nonspecific symptoms.
Observation:
- A 9-year-old girl presented with severe rhabdomyolysis and myoglobinuric renal failure.
- Her condition was associated with influenza A virus infection.
Findings:
- The patient received comprehensive supportive therapy, including intensive care management.
- Complete recovery of renal function was achieved.
Implications:
- This case highlights the importance of considering influenza-associated rhabdomyolysis and acute kidney injury in pediatric patients.
- Early diagnosis and prompt, intensive treatment are essential to reduce morbidity and mortality in children with this complication.
Abstract:
Rhabdomyolysis induced acute renal failure as a rare complication of influenza A infection has been mainly described in adults. Consideration of this potentially life-threatening complication in pediatric patients presenting with influenza is important as clinical symptoms may be unspecific and early diagnosis leading to prompt treatment is essential to decrease associated morbidity and mortality. We report a 9 year old girl who developed severe rhabdomyolysis with myoglobinuric renal failure associated with influenza A virus infection. Receiving supportive therapy including intensive care management the patient recovered renal function completely.
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