Key result
Influenza A/H1N1 convalescence linked to rhabdomyolysis and compartment syndrome in an immune-competent child.
Case Report (n=1)
Rhabdomyolysis and associated cardiac dysfunction should be considered in critically ill patients with influenza A/H1N1 2009 infection.
Rare rhabdomyolysis may complicate pediatric H1N1 recovery; leaves open incidence and risk factors.
The influenza A/H1N1 2009 epidemic has spread to many countries since 2009, including Japan. We report an immune-competent child involving rhabdomyolysis and compartment syndrome associated with influenza A/H1N1 2009. The patient was demonstrated rhabdomyolysis with myoglobinuria, hyperkalemia, cardiac dysfunction and compartment syndrome that arose during convalescence from influenza A/H1N1 2009 infection. Although RT-PCR of muscle tissue yielded negative results for influenza A/H1N1 2009 RNA and no viral positive-antigen cells were detected in the muscle lesions, the clinical picture suggested rhabdomyolysis associated with influenza A/H1N1. Rhabdomyolysis should be considered in the evaluation of muscle symptoms such as myalgia associated with novel influenza A/H1N1 2009 virus infection, particularly in critically ill patients.
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Ishiwada et al. (2012) conducted a case report in Influenza A/H1N1 2009 infection (n=1). Influenza A/H1N1 2009 infection was evaluated. An immune-competent child developed rhabdomyolysis and compartment syndrome during convalescence from influenza A/H1N1 2009 infection.
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