Key result
Toddler with viral rhabdomyolysis presents with 7-digit creatine kinase levels but avoids renal dialysis.
Why the study?
Extremely high creatine kinase levels in childhood rhabdomyolysis have rarely been reported, with the highest previously documented at six digits.
Case Report (n=1)
This case report documents an exceptionally high (7-digit) creatine kinase level in a child with viral myositis who recovered without needing renal dialysis.
Rhabdomyolysis is an acute life-threatening condition that can occur in childhood secondary to many causes. The authors report the case of a 3-year-old male child who presented with acute rhabdomyolysis. The peak plasma creatine kinase level was extremely high. The 2 main causes of rhabdomyolysis in childhood are viral myositis and trauma, which can sometimes lead to acute renal failure. The highest creatine kinase levels reported in the literature so far was a 6-digit level in 2014 case report. In this study, the authors report the case of a 7-digit creatine kinase level in a child secondary to viral myositis who did not require renal dialysis.
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Mneimneh et al. (2017) conducted a case report in Acute rhabdomyolysis (n=1). Viral myositis was evaluated on Creatine kinase level. A 3-year-old male child with acute rhabdomyolysis secondary to viral myositis presented with a 7-digit creatine kinase level but did not require renal dialysis.
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