Rhabdomyolysis in Children: Three Exotic Presentations from Suriname

Abstract

We describe three clinical cases of Surinamese children with rhabdomyolysis with diverse clinical presentation and course. The first patient had rhabdomyolysis because of toxins caused by multiple beestings and developed acute kidney injury. The other two patients had rhabdomyolysis following acute infection with chikungunya and influenza A/H1N1 virus. These cases emphasize that the diverse etiology of rhabdomyolysis should be considered in children in tropical settings.

Chikungunya Virus Infection-related Rhabdomyolysis: A Case Report

“…In another case report, a patient infected with Chikungunya virus developed rhabdomyolysis complicated by renal failure requiring dialysis [5]. In Suriname, during an outbreak of Chikungunya virus infection, a case of an 11-year old patient who presented with fever, myalgia, and dark colored urine was diagnosed with Chikungunya complicated with rhabdomyolysis due to viral myositis [6]. In one outbreak on Reunion Island, 15 out of the 157 infected patients had a CK level of more than 1000 U/L [9].…”

“…Rhabdomyolysis is a rare complication of Chikungunya virus infection and only few reports are available about Chikungunya virus infection-related rhabdomyolysis [3-6]. In an outbreak of Chikungunya virus infection, one patient developed acute exacerbation of pre-existing heart failure, rhabdomyolysis, and multiple organ failure [3].…”