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Published on: June 9, 2021
Melting muscles: novel H1N1 influenza A associated rhabdomyolysis
Dimple D'Silva1, Saliya Hewagama, Richard Doherty
1Department of Pediatric Infectious Diseases, Monash Medical Centre, Clayton, Victoria, Australia. dimpledsilva@yahoo.com
Abstract:
We report the first case of myositis and rhabdomyolysis after infection with novel influenza A (H1N1/09) virus. The case demonstrates the novel virus' capacity for causing significant disease. Myositis and the possibility of rhabdomyolysis should be considered in any individual presenting with influenza-like symptoms in which severe myalgia or muscle weakness is apparent. It is likely that we will see severe clinical manifestations of infection with this novel influenza virus in the coming respiratory virus season.
Insights
Novel influenza A (H1N1/09) virus can cause severe muscle inflammation (myositis) and rhabdomyolysis. Consider these conditions in patients with influenza-like illness and severe muscle symptoms.
Area of Science:
- Infectious Diseases
- Virology
- Neurology
Background:
- Influenza A (H1N1/09) is a novel virus with pandemic potential.
- Influenza typically causes respiratory symptoms, but systemic complications can occur.
Observation:
- A case of myositis and rhabdomyolysis following H1N1/09 infection is presented.
- The patient experienced severe myalgia and muscle weakness.
Findings:
- This case highlights the H1N1/09 virus's capacity to induce significant muscle damage.
- Myositis and rhabdomyolysis are potential complications of H1N1/09 infection.
Implications:
- Clinicians should consider myositis and rhabdomyolysis in patients with influenza-like symptoms and severe muscle pain or weakness.
- Anticipate more severe clinical manifestations of H1N1/09 during the upcoming respiratory virus season.
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