Rhabdomyolysis in an Adolescent Associated With Parainfluenza Type 1 Virus

Pana, Zoe Dorothea; Tragiannidis, Athanasios; Douma, Stergianna; Karteridou, Chrisa

doi:10.1097/inf.0b013e3182140a4d

Cited by 5 publications

(5 citation statements)

References 3 publications

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“…All patients were children, three boys and one girl with ages between 4 and 10 years old. Three of them had parainfluenza type 1 6,7,21) and the other one had parainfluenza type 3 infection 8) . Three patients developed acute renal failure, and one of them died due to respiratory failure 8) .…”

Section: Discussionmentioning

confidence: 99%

Virus-associated Rhabdomyolysis in Children

You¹,

Lee²,

Lee³

2017

Child Kidney Dis

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Virus-associated Rhabdomyolysis in Children Purpose: Virus-associated rhabdomyolysis is very rare. We report 15 patients with rhabdomyolysis caused by various viruses. Methods: Fifteen patients who were diagnosed with rhabdomyolysis and a viral infection were included in this study. Clinical, laboratory, and radiologic findings were evaluated through retrospective chart reviews. Results: Chief complaints were severe bilateral lower leg pain and leg weakness. The median age was 5.7 years. The male:female ratio was 2:5. The viral infections were caused by influenza virus B, parainfluenza virus, and rhinovirus. One patient with influenza virus B had coinfection with coronavirus. Median initial laboratory values and ranges were as follows: serum creatinine, 0.4 (0.1-0.5) mg/dL; serum aspartate transaminase, 124 (48-1,098) IU/L; serum alanine transaminase, 30 (16-1,455) IU/L; serum creatine kinase, 2,965 (672-16,594) IU; serum lactate dehydrogenase, 400 (269-7,394) IU/L; serum myoglobin, 644 (314-3,867) ng/mL; urine myoglobin, 3 (3-10,431) ng/mL. All patients recovered without complications. Conclusion: This is the first report of the simultaneous occurrence of rhabdomyolysis caused by various viruses. This is also the first report of rhinovirus-associated rhabdomyolysis.

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Section: Discussionmentioning

confidence: 99%

Virus-associated Rhabdomyolysis in Children

You¹,

Lee²,

Lee³

2017

Child Kidney Dis

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“…In comparison to influenza‐induced BACM which often presents with dramatic leg pain, parainfluenza‐1 induced BACM appears milder and with a shorter time to resolution. Despite this, recent case reports have identified parainfluenza‐1 infection preceding rhabdomyolysis, compartment syndrome and acute renal failure . Whether post‐viral rhabdomyolysis is a continuum of BACM is not yet clear.…”

Section: Discussionmentioning

confidence: 99%

Benign acute childhood myositis following human parainfluenza virus type‐1 infection

Tippett

Clark

2013

Emerg Medicine Australasia

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Benign acute childhood myositis (BACM) is a post-respiratory tract infection condition of school-age children. Presentation is typically with acute onset calf pain and tenderness and refusal to walk or altered gait during the convalescent period of an influenza A or B infection. We describe a unique cluster of children with BACM following infection with human parainfluenza 1 virus, with no evidence of influenza A or B infection. BACM is a commonly missed diagnosis of altered gait in children presenting to the emergency department. This is the first report to describe a cluster of human parainfluenza virus type-1 associated BACM. We discuss the presentation, clinical examination and investigation results of the children identified. Furthermore, we review the current research surrounding BACM, overview the clinical presentation to healthcare professionals, and present an interesting case of a child presenting for the second time with BACM.

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“…Similarly, in a review of 39 children with influenza associated myositis/rhabdomyolysis, the median age was 8.5 years (range 2. [5][6][7][8][9][10][11][12][13][14]. The median interval was 3 days after the onset of influenza, fever was present in 74%, calf pain was typically present, and difficulty in walking occurred in 26% and swelling in 13% [12].…”

Section: Discussionmentioning

confidence: 99%

“…None of the children with parainfluenza had dark-colored urine, except for one who presented with the "classic triad" of myalgias, muscle weakness, and dark urine [5]. Two had positive urinalysis for blood [5, present].…”

Section: Discussionmentioning

confidence: 99%