Mukherjee Aveek, Ghosh Raisa, Aftab Ghulam
Internal Medicine, Rutgers Robert Wood Johnson Medical School/Saint Peter's University Hospital, New Brunswick, USA.
Pulmonary Medicine, Rutgers Robert Wood Johnson Medical School/Saint Peter's University Hospital, New Brunswick, USA.
Cureus. 2020 Jul 1;12(7):e8956. doi: 10.7759/cureus.8956.
Coronavirus disease 2019 has rapidly enveloped the world in a pandemic after emerging in Wuhan, China, in December 2019. We describe a 49-year-old man presenting with fever, cough, dyspnea, and myalgia diagnosed with coronavirus disease 2019 along with rhabdomyolysis and acute kidney injury. The creatine phosphokinase was elevated to 23,800 U/L before trending down to normal levels. Rapid identification and treatment with aggressive intravenous hydration and correction of electrolyte abnormalities remain key to successful management. In a pandemic, often atypical presentations of this new disease have to be considered as differentials for early diagnosis and treatment of life-threatening conditions.
2019年12月在中国武汉出现后，2019冠状病毒病迅速在全球范围内引发大流行。我们描述了一名49岁男性，他出现发热、咳嗽、呼吸困难和肌痛，被诊断为2019冠状病毒病，同时伴有横纹肌溶解和急性肾损伤。肌酸磷酸激酶在降至正常水平之前升至23,800 U/L。快速识别并积极进行静脉补液治疗以及纠正电解质异常仍然是成功治疗的关键。在大流行期间，这种新疾病的非典型表现常常必须被视为危及生命状况的早期诊断和治疗的鉴别诊断。
