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横纹肌溶解症作为重症新型冠状病毒肺炎的一种表现:一例病例报告。

Rhabdomyolysis as a manifestation of a severe case of COVID-19: A case report.

作者信息

Husain Rola, Corcuera-Solano Idoia, Dayan Etan, Jacobi Adam H, Huang Mingqian

机构信息

Diagnostic, Molecular and Interventional Radiology, Mount Sinai Health System, 1468 Madison Ave, 10029, New York, NY, USA.

出版信息

Radiol Case Rep. 2020 Jul 7;15(9):1633-1637. doi: 10.1016/j.radcr.2020.07.003. eCollection 2020 Sep.

DOI:10.1016/j.radcr.2020.07.003
PMID:32690987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7340044/
Abstract

Since the outbreak of the ongoing pandemic of the novel coronavirus disease (COVID-19) in Wuhan, China, from December 2019, we have learned that multiple organs can be affected with the potential for various complications. Although myalgia is a frequent symptom in COVID-19 patients, no imaging findings of rhabdomyolysis have been featured in the literature. We report a case of presumed rhabdomyolysis in a 38-year-old male with COVID-19 based on the clinical presentation, laboratory results and radiological findings. By discussing the diagnostic rationale and reviewing the relevant literature we hope to advance the existing understanding of this disease and its effects on the musculoskeletal system.

摘要

自2019年12月中国武汉爆发新型冠状病毒病(COVID-19)疫情以来,我们了解到多个器官可能受到影响,并有可能引发各种并发症。虽然肌痛是COVID-19患者的常见症状,但文献中尚未有横纹肌溶解的影像学表现。我们报告一例38岁男性COVID-19患者疑似横纹肌溶解的病例,该病例基于临床表现、实验室检查结果及影像学表现。通过讨论诊断依据并回顾相关文献,我们希望增进对该疾病及其对肌肉骨骼系统影响的现有认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da0/7363628/11da5206b1ad/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da0/7363628/7935c11ab4e5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da0/7363628/964b495382f7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da0/7363628/3c6407468cb7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da0/7363628/11da5206b1ad/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da0/7363628/7935c11ab4e5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da0/7363628/964b495382f7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da0/7363628/3c6407468cb7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da0/7363628/11da5206b1ad/gr4.jpg

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Rhabdomyolysis as a manifestation of a severe case of COVID-19: A case report.横纹肌溶解症作为重症新型冠状病毒肺炎的一种表现:一例病例报告。
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引用本文的文献

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COVID-19 Infection Induces Rhabdomyolysis and Acute Kidney Injury.新型冠状病毒肺炎感染可导致横纹肌溶解和急性肾损伤。
Cureus. 2025 Aug 28;17(8):e91153. doi: 10.7759/cureus.91153. eCollection 2025 Aug.
2
Rhabdomyolysis in patients with COVID-19: A cause or consequence of acute kidney injury or mortality?新型冠状病毒肺炎患者的横纹肌溶解症:急性肾损伤或死亡的原因还是后果?
Medicine (Baltimore). 2025 May 2;104(18):e42368. doi: 10.1097/MD.0000000000042368.
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Rhabdomyolysis secondary to COVID-19 infection and vaccination: a review of literature.

本文引用的文献

1
Rhabdomyolysis as a Presentation of 2019 Novel Coronavirus Disease.横纹肌溶解症作为2019年新型冠状病毒病的一种表现形式
Cureus. 2020 Apr 6;12(4):e7561. doi: 10.7759/cureus.7561.
2
Myositis as a manifestation of SARS-CoV-2.肌炎作为严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的一种表现形式。
Ann Rheum Dis. 2021 Mar;80(3):e42. doi: 10.1136/annrheumdis-2020-217573. Epub 2020 Apr 23.
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Renal histopathological analysis of 26 postmortem findings of patients with COVID-19 in China.中国 26 例 COVID-19 死亡患者的肾脏组织病理分析。
新型冠状病毒肺炎感染及疫苗接种继发横纹肌溶解症:文献综述
Front Med (Lausanne). 2024 Nov 20;11:1460676. doi: 10.3389/fmed.2024.1460676. eCollection 2024.
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A Case of COVID-19-Triggered Polymyositis Leading to Rhabdomyolysis.一例由新型冠状病毒肺炎引发的多发性肌炎导致横纹肌溶解症的病例。
Cureus. 2024 Jul 10;16(7):e64267. doi: 10.7759/cureus.64267. eCollection 2024 Jul.
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Profound Rhabdomyolysis and Viral Myositis Due to SARS-CoV-2: A Case Report.严重急性呼吸综合征冠状病毒2(SARS-CoV-2)所致的严重横纹肌溶解症和病毒性肌炎:一例报告
Cureus. 2024 May 27;16(5):e61172. doi: 10.7759/cureus.61172. eCollection 2024 May.
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Relationship Between Rhabdomyolysis and SARS-CoV-2 Disease Severity.横纹肌溶解与新型冠状病毒肺炎疾病严重程度之间的关系
Cureus. 2024 Jan 27;16(1):e53029. doi: 10.7759/cureus.53029. eCollection 2024 Jan.
7
Clinical Diagnosis of Rhabdomyolysis without Myoglobinuria or Electromyographic Abnormalities in a Dog.一只犬无肌红蛋白尿或肌电图异常的横纹肌溶解症的临床诊断
Animals (Basel). 2023 May 25;13(11):1747. doi: 10.3390/ani13111747.
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Blood flow restriction as a potential therapy to restore physical function following COVID-19 infection.血流限制作为一种潜在疗法,用于恢复新冠病毒感染后的身体功能。
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Viruses. 2023 Jun 27;15(7):1445. doi: 10.3390/v15071445.
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Chest CT Findings in Coronavirus Disease-19 (COVID-19): Relationship to Duration of Infection.胸部计算机断层扫描在 2019 年冠状病毒病(COVID-19)中的表现:与感染持续时间的关系。
Radiology. 2020 Jun;295(3):200463. doi: 10.1148/radiol.2020200463. Epub 2020 Feb 20.
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Rhabdomyolysis of the head and neck: computed tomography and magnetic resonance imaging findings.头颈部横纹肌溶解症:计算机断层扫描和磁共振成像表现。
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Liver aminotransferases are elevated with rhabdomyolysis in the absence of significant liver injury.肝转氨酶在横纹肌溶解症时升高,但无明显肝损伤。
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Rhabdomyolysis: a review of the literature.横纹肌溶解症:文献综述
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Rhabdomyolysis.横纹肌溶解症
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