Influenza A (H3N2)-induced rhabdomyolysis complicating anterior compartment syndrome: Serial changes in muscle MRI T2 fat suppression imaging.

作者信息

Hamano Tadanori, Matsunaga Akiko, Yamamura Osamu, Nakamura Masako, Kawamura Yasutaka, Higuchi Itsuro, Kuriyama Masaru, Nakamoto Yasunari

机构信息

Second Department of Internal Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.

Life Science Innovation Center, University of Fukui, Fukui, Japan.

出版信息

eNeurologicalSci. 2017 Mar 27;7:15-17. doi: 10.1016/j.ensci.2017.03.006. eCollection 2017 Jun.

DOI:10.1016/j.ensci.2017.03.006

PMID:29260019

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5721552/

Abstract

BACKGROUND

Rhabdomyolysis with influenza infection is rarely reported in adults. We report here influenza A induced rhabdomyolysis and anterior compartment syndrome (ACS).

CASE REPORT

This case report describes a 43-year-old woman exhibiting influenza A induced rhabdomyolysis. High levels of creatine kinase (97,000 IU/L) and high titer of anti-influenza A virus antibody (H3N2) (320 ×) with negative anti-influenza B virus antibody were observed. T2 fat suppression muscle MRI imaging showed high-intensity signals in rectus femoris, vastus lateralis, adductor magnus, and semimembranosus (SM) muscles. The existence of ACS was suspected out. Muscle biopsy showed that fiber size variations exist without infiltration of inflammatory cells. The symptoms and muscle MRI findings of T2 fat suppression imaging was markedly improved.

CONCLUSIONS

Muscle MRI T2 fat suppression imaging is a useful method to monitor influenza A induced rhabdomyolysis. We should keep in mind the possibilities of rhabdomyolysis and ACS in patients with influenza A infection presenting serious muscle pain.

摘要