Dworschak A M, Wiebe B, Pohlmann U, Ehlen M, Scholer-Everts R, Bartmann P
Department of Neonatalogy and Pediatric Intensive Care, Asklepios Children's Hospital St. Augustin, Germany.
Klin Padiatr. 2008 Jul-Aug;220(4):266-7. doi: 10.1055/s-2007-1022569.
Rhabdomyolysis induced acute renal failure as a rare complication of influenza A infection has been mainly described in adults. Consideration of this potentially life-threatening complication in pediatric patients presenting with influenza is important as clinical symptoms may be unspecific and early diagnosis leading to prompt treatment is essential to decrease associated morbidity and mortality. We report a 9 year old girl who developed severe rhabdomyolysis with myoglobinuric renal failure associated with influenza A virus infection. Receiving supportive therapy including intensive care management the patient recovered renal function completely.
横纹肌溶解症诱发的急性肾衰竭作为甲型流感感染的一种罕见并发症，主要在成人中有所描述。对于出现流感症状的儿科患者而言，考虑这一潜在的危及生命的并发症十分重要，因为临床症状可能不具有特异性，早期诊断并及时治疗对于降低相关的发病率和死亡率至关重要。我们报告了一名9岁女孩，她因感染甲型流感病毒而出现严重横纹肌溶解症并伴有肌红蛋白尿性肾衰竭。在接受包括重症监护管理在内的支持性治疗后，患者肾功能完全恢复。
