Department of Emergency Medicine, Henry Ford Health System, Detroit, Michigan, USA.
Department of Emergency Medicine, Henry Ford Health System, Detroit, Michigan, USA
BMJ Case Rep. 2021 Jan 7;14(1):e236893. doi: 10.1136/bcr-2020-236893.
Influenza A and B commonly cause benign respiratory disease in humans, but can cause more severe illness in high-risk populations. We report an unusual case of a previously healthy adult patient who presented with myositis and severe rhabdomyolysis secondary to influenza A infection that resulted in atraumatic compartment syndrome of all four extremities, each requiring emergent fasciotomy. The patient was subsequently managed with delayed primary closure and skin grafting in the operating room. Prompt recognition of this rare complication by the team resulted in no limb amputations. On his first follow-up appointment, 1 month after discharge, he had regained full functionality in both his hands and his feet were both close to 50% of baseline and improving with physical therapy.
甲型和乙型流感通常在人类中引起良性呼吸道疾病，但在高危人群中可引起更严重的疾病。我们报告了一个不常见的病例，一名既往健康的成年患者因甲型流感感染引起肌炎和严重横纹肌溶解症，导致四肢所有部位均出现非外伤性间隔综合征，每个部位都需要紧急筋膜切开术。随后，患者在手术室接受延迟性一期闭合和植皮治疗。团队及时识别出这种罕见的并发症，避免了截肢。在出院后 1 个月的首次随访时，他的双手已完全恢复功能，双脚接近基线的 50%，并通过物理治疗得到改善。
