非法移民：横纹肌溶解症若干风险因素的费解作用。
Illegal immigration: the puzzling role of several risk factors for rhabdomyolysis.
作者信息
Colavita Laura, Dipasquale Valeria, Stroscio Giovanni, Salpietro Carmelo
机构信息
Department of Human Pathology in Adulthood and Childhood 'G. Barresi', University Hospital of Messina, Messina, Italy.
出版信息
BMJ Case Rep. 2018 Jan 23;2018:bcr-2017-221511. doi: 10.1136/bcr-2017-221511.
A 14-year-old boy presented with low-grade fever, widespread myalgia and difficulty in walking and standing 2 days after the undocumented trip which brought him from western Africa to Italy. His serum creatine phosphokinase was markedly elevated. He was diagnosed with rhabdomyolysis and was volume-restored with normal saline and bicarbonate-containing fluid. Anamnesis revealed illegal, not well-specified, forced consumption in his fatherland, and very bad conditions of the trip (prolonged immobility, dehydration, hypothermia). Workup included a respiratory microbiological panel which was positive for Other microbiological agents were excluded. After 3 weeks, he recovered complete motility. Undocumented immigrants may present several risk factors for rhabdomyolysis that give to this group of individuals a higher risk of developing this disorder.
一名14岁男孩在从西非非法来到意大利2天后，出现低热、全身肌肉疼痛以及行走和站立困难。他的血清肌酸磷酸激酶显著升高。他被诊断为横纹肌溶解症，通过输注生理盐水和含碳酸氢盐的液体进行容量复苏。病史显示他在祖国曾有过非法、情况不明的强迫性消耗，且旅行条件极差（长时间不动、脱水、体温过低）。检查包括呼吸道微生物检测，结果显示其他微生物病原体呈阳性，其他微生物病原体被排除。3周后，他完全恢复了活动能力。非法移民可能存在多种导致横纹肌溶解症的风险因素，这使得该群体患这种疾病的风险更高。
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