Acute HIV Induced Rhabdomyolysis: Not on Antiretroviral Therapy

Abstract

Acute human immunodeficiency virus (HIV) infection is an underrecognized cause of acute rhabdomyolysis which leads to significant morbidity and mortality. Many cases are related to concomitant infections, or substance abuse, however acute HIV infection can also lead to rhabdomyolysis due to derangements in skeletal muscles from high viral load and electrolyte derangements. We present a case of a 26-year-old male without past medical history that presents with diffuse muscle pain and dark brown urine with CK>100,000 units/L without other confounding causes for rhabdomyolysis.