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Case Reports
. 2020 Feb 28;12(2):e7126.
doi: 10.7759/cureus.7126.

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

Ahmad Soliman  1 , Supriya Bisht  1 , Kokila Jeyamurugan  1 , Palanikumar Balasundaram  1 , Ratna Basak  1
Affiliations
Case Reports

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

Ahmad Soliman et al. Cureus. .

Abstract

Rhabdomyolysis is a condition resulting from the breakdown of skeletal muscle fibers with leakage of muscle enzymes into the circulation. The degraded muscle components in the circulation can lead to lethal complications as acute renal failure (ARF). In younger children, viral infections tend to be the major cause while trauma and exercise are the important ones in adolescents. Several viruses such as influenza A & B, parainfluenza and coxsackie have been implicated in causing rhabdomyolysis. We report a case of a 14-year-old girl with severe rhabdomyolysis after recent Coxsackie B infection without acute renal failure.

Keywords: coxsackie; creatinine phosphokinase; rhabdomyolysis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Electrocardiogram showed nonspecific ST and T wave changes
Figure 2
Figure 2. Trend of creatinine phosphokinase (CPK) values during the hospital stay
Figure 3
Figure 3. Trends of renal function tests during the hospital stay
See this image and copyright information in PMC

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