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基孔肯雅病毒感染相关横纹肌溶解症:一例报告

Chikungunya Virus Infection-related Rhabdomyolysis: A Case Report.

作者信息

Elfert Khaled Abdelmaqsoud, Abdelwahed Mohammed, Chi Gerald

机构信息

Internal Medicine, Hamad Medical Corporation, Doha, QAT.

Pathology, Boston University Medical Center, Boston, USA.

出版信息

Cureus. 2019 Feb 8;11(2):e4036. doi: 10.7759/cureus.4036.

Abstract

Chikungunya virus infection is an infection transmitted by mosquitoes. It classically presents with fever and arthralgia. The rhabdomyolysis as a complication of this infection is rarely reported in the literature. We report a case of a previously healthy 34-year-old male patient with acute onset of fever, myalgia, arthralgia, and dark colored urine. Laboratory values revealed elevated creatinine, positive urine dipstick for blood, but urine microscopy showed no red blood cells. Serum creatine kinase (CK) was elevated (>2000 U/L). Serology was positive for Chikungunya IgM antibodies. Rhabdomyolysis due to acute Chikungunya viral infection was diagnosed. Patient condition improved with supportive treatment and was discharged home.

摘要

基孔肯雅病毒感染是一种由蚊子传播的感染。其典型表现为发热和关节痛。作为这种感染并发症的横纹肌溶解在文献中很少有报道。我们报告一例病例,一名34岁既往健康的男性患者,急性起病,有发热、肌痛、关节痛和深色尿。实验室检查结果显示肌酐升高,尿试纸检测血液呈阳性,但尿显微镜检查未发现红细胞。血清肌酸激酶(CK)升高(>2000 U/L)。基孔肯雅IgM抗体血清学检查呈阳性。诊断为急性基孔肯雅病毒感染所致横纹肌溶解。患者经支持治疗后病情好转,出院回家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/472e/6456360/c547100e2fbc/cureus-0011-00000004036-i01.jpg

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