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Severe Rhabdomyolysis in a Pediatric Patient after Coxsackie B Virus Infection without Acute Renal Failure: A Case

Ahmad Soliman1, Supriya Bisht1, Kokila Jeyamurugan1

  • 1Pediatrics, Brookdale University Medical Center, New York City, USA.

Cureus
|April 8, 2020
PubMed

Insights

Severe rhabdomyolysis, a muscle breakdown condition, occurred in a 14-year-old girl following a Coxsackie B viral infection. Fortunately, she did not develop acute renal failure, a common complication.

Area of Science:

  • Medical Case Study
  • Virology
  • Nephrology

Background:

  • Rhabdomyolysis involves skeletal muscle breakdown, releasing enzymes into circulation.
  • This can lead to severe complications like acute renal failure (ARF).
  • Viral infections are common causes in children, while trauma and exercise affect adolescents.

Observation:

  • A 14-year-old female presented with severe rhabdomyolysis.
  • The condition followed a recent Coxsackie B viral infection.
  • The patient did not exhibit signs of acute renal failure.

Findings:

  • Coxsackie B virus can trigger severe rhabdomyolysis in adolescents.
  • The absence of acute renal failure in this case is noteworthy.
  • This highlights the variable clinical presentation of viral-induced rhabdomyolysis.

Implications:

  • Understanding viral triggers for rhabdomyolysis is crucial for early diagnosis.
  • Prompt recognition may prevent severe complications like acute renal failure.
  • Further research into Coxsackie B's role in rhabdomyolysis is warranted.

Keywords:
coxsackiecreatinine phosphokinaserhabdomyolysis

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