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ISSN 0016-3813 (Print)

2009, Number 6

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Gac Med Mex 2009; 145 (6)

Rabdomiólisis e insuficiencia renal aguda en infección por influenza humana A H1N1

Carrillo-Esper R, Ornelas-Arroyo S, Pérez-Bustos E, Sánchez-Zúñiga J, Uribe-Esquivela M

Language: Spanish
References: 10
Page: 519-521
PDF size: 87.30 Kb.


ABSTRACT

Rabdomiolysis and acute ranal failure secondary to influenza infection are rare. Up to now, few cases have been reported and most of them are primarily among children. Myositis associated to influenza infection is caused by the toxic efect of the virus in the muscular fiber, dysregulation of inflamatory citokines and a cross reaction between the muscle fiber and the viral particles. We present the case of a 57 year old male with a diagnosis of H1N1 influenza who developed polyuria, oligoanuria, elevation of lactic deshidrogenase, myoglobin, creatinin phosphokinase and an electromyography with a myopathic pattern. The diagnosis of rabdomyolisis and acute renal failure were made, haemodyalisis was started and the patient improved satisfactorily.This is the first report of a patient with radmoyolisis and acute renal failure secondary to AH1N1 influenza treated during the Mexico epidemic.


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