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Rhabdomyolysis Induced by Rhinovirus: A Case Report

Rawia F Albar1, Haitham A Alasmari2, Sultan A Neazy2

  • 1Pediatrics, King Abdulaziz Medical City, Jeddah, SAU.

Cureus
|April 4, 2022
PubMed

Insights

Virus-associated rhabdomyolysis is a rare complication of viral infections in children. This case highlights rhinovirus as a cause, emphasizing prompt diagnosis and treatment for full recovery.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Neurology

Background:

  • Virus-associated rhabdomyolysis is a rare but serious condition in pediatric patients.
  • Rhabdomyolysis can manifest following various viral infections, presenting a diagnostic challenge.

Observation:

  • A 10-year-old male presented with severe leg pain, inability to walk, dysphagia, and dark urine.
  • Initial lab work revealed elevated creatine kinase (CK), C-reactive protein (CRP), and liver enzymes, with abnormal urinalysis.
  • Diagnostic workup, including multiplex PCR, identified rhinovirus as the causative agent.

Findings:

  • The patient was diagnosed with rhinovirus-induced rhabdomyolysis, the third reported case.
  • Treatment involved isotonic intravenous fluids.
  • The patient recovered fully, regaining ambulation without complications.

Implications:

  • This case underscores the importance of considering viral infections, particularly rhinovirus, in the differential diagnosis of pediatric rhabdomyolysis.
  • Increased awareness among pediatricians can lead to earlier recognition and management of this rare syndrome.
  • Prompt and appropriate treatment, including fluid resuscitation, is crucial for favorable outcomes in virus-associated rhabdomyolysis.

Keywords:
case reportcreatine kinaserhabdomyolysisrhinovirusviral-induced rhabdomyolysis

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