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柯萨奇B病毒感染后无急性肾衰竭的小儿严重横纹肌溶解症:一例报告

Severe Rhabdomyolysis in a Pediatric Patient after Coxsackie B Virus Infection without Acute Renal Failure: A Case Report.

作者信息

Soliman Ahmad, Bisht Supriya, Jeyamurugan Kokila, Balasundaram Palanikumar, Basak Ratna

机构信息

Pediatrics, Brookdale University Medical Center, New York City, USA.

出版信息

Cureus. 2020 Feb 28;12(2):e7126. doi: 10.7759/cureus.7126.

Abstract

Rhabdomyolysis is a condition resulting from the breakdown of skeletal muscle fibers with leakage of muscle enzymes into the circulation. The degraded muscle components in the circulation can lead to lethal complications as acute renal failure (ARF). In younger children, viral infections tend to be the major cause while trauma and exercise are the important ones in adolescents. Several viruses such as influenza A & B, parainfluenza and coxsackie have been implicated in causing rhabdomyolysis. We report a case of a 14-year-old girl with severe rhabdomyolysis after recent Coxsackie B infection without acute renal failure.

摘要

横纹肌溶解症是一种由于骨骼肌纤维分解,肌肉酶泄漏到循环系统中而导致的病症。循环系统中降解的肌肉成分可导致致命并发症,如急性肾衰竭(ARF)。在年幼儿童中,病毒感染往往是主要病因,而在青少年中,创伤和运动是重要病因。几种病毒,如甲型和乙型流感病毒、副流感病毒和柯萨奇病毒,都被认为与横纹肌溶解症的发生有关。我们报告一例14岁女孩在近期感染柯萨奇B病毒后发生严重横纹肌溶解症但无急性肾衰竭的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abac/7105082/441b7966e5d4/cureus-0012-00000007126-i01.jpg

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