COVID-19 Presenting as Severe Rhabdomyolysis With Normal Renal Function.

Area of Science:

• Infectious Diseases
• Neurology
• Nephrology

Background:

• Coronavirus disease 2019 (COVID-19) presents with diverse clinical manifestations.
• Prompt diagnosis and intervention are essential for managing COVID-19 morbidity and mortality.
• Atypical presentations of COVID-19 can pose diagnostic challenges.

Observation:

• A young adult presented with symptoms suggestive of a severe condition.
• The patient exhibited extremely elevated creatine kinase levels (> 500,000 U/L).
• Initial assessments indicated normal renal function despite severe muscle breakdown.

Findings:

• The patient was diagnosed with Coronavirus disease 2019 (COVID-19).
• This case represents the first reported instance of COVID-19 presenting as severe rhabdomyolysis.
• The severe rhabdomyolysis occurred with preserved kidney function.

Implications:

• COVID-19 should be considered in the differential diagnosis of severe rhabdomyolysis, even in young adults.
• This case expands the spectrum of known COVID-19 complications.
• Understanding rare presentations is vital for comprehensive patient care and timely treatment.