Fodili F, van Bommel E F H
Department of Internal Medicine, Albert Schweitzer Hospital, PO Box 444, 3300 AK Dordrecht, The Netherlands.
Neth J Med. 2003 May;61(5):177-9.
Viral infections have been associated with a wide spectrum of muscle disorders, ranging from acute nonspecific myalgia to myositis. However, severe rhabdomyolysis, with or without accompanying acute renal failure (ARF), has been described only rarely. We report the fourth case in the literature of recent Coxsackie B virus infection complicated by severe rhabdomyolysis and ARF, necessitating temporary haemodialysis in a previously healthy young man. Although most Coxsackie B virus infections are asymptomatic, one should be aware of this potentially life-threatening complication of this virus. As illustrated with the present case, serological testing may reveal the diagnosis in a case of rhabdomyolysis after a viral illness.
病毒感染与多种肌肉疾病有关，范围从急性非特异性肌痛到肌炎。然而，严重横纹肌溶解症，无论是否伴有急性肾衰竭（ARF），仅有极少病例被报道。我们报告了文献中第四例近期柯萨奇B病毒感染并发严重横纹肌溶解症和急性肾衰竭的病例，该病例发生在一名此前健康的年轻男性身上，需要进行临时血液透析。尽管大多数柯萨奇B病毒感染是无症状的，但人们应该意识到这种病毒可能会引发危及生命的并发症。正如本病例所示，血清学检测可能有助于诊断病毒感染后发生横纹肌溶解症的病例。
