Sobol Grażyna, Musioł Katarzyna, Mizia-Malarz Agnieszka, Stolpa Weronika, Krupa Małgorzata, Woś Halina
Department of Pediatric Oncology, Haematology and Chemotherapy, Medical University of Silesia, Upper Silesia Children's Care Heatlh Centre, Katowice, Poland.
J Pediatr Hematol Oncol. 2012 May;34(4):e142-4. doi: 10.1097/MPH.0b013e318236b2fd.
Rhabdomyolysis refers to a number of clinical and biochemical symptoms, which result from the destruction of skeletal muscles. The following triad of symptoms is considered typical: myalgia, muscle weakness, and dark urine. The most common reasons for rhabdomyolysis in children are infections. It has also been reported that rhabdomyolysis may be caused by chemotherapy drugs. The most difficult complication of rhabdomyolysis is renal failure. The authors present a 17-year-old boy diagnosed with Ewing sarcoma and a 16-year-old boy suffering from acute leukemia, both with rhabdomyolysis developed in the course of infection caused by Clostridium difficile, and drug-induced neutropenia.