Hwang Calvin E, Matheson Gordon, Baine Jennifer
Orthopaedic Surgery, Stanford University, Stanford, USA.
Sports Medicine, Stanford University, Stanford, USA.
Cureus. 2021 Apr 15;13(4):e14510. doi: 10.7759/cureus.14510.
Adenovirus is a common cause of upper respiratory and gastrointestinal tract infections. Though cases of significant organ failure and death have been reported in young children and immunocompromised individuals, adenovirus infections in healthy individuals are typically self-limiting without significant morbidity or mortality. Exertional rhabdomyolysis is a pathologic condition resulting from repetitive, excessive, or prolonged exercise, often in a hot environment, leading to acute muscle injury, renal injury and, rarely, death. We report a case of adenovirus infection leading to acute liver failure complicated by rhabdomyolysis in a collegiate football player presenting with nausea, vomiting, and diarrhea. We propose a protocol to safely guide the return to play progression for patients with complicated exertional rhabdomyolysis.
腺病毒是上呼吸道和胃肠道感染的常见病因。尽管在幼儿和免疫功能低下个体中已报告有严重器官衰竭和死亡病例，但健康个体中的腺病毒感染通常为自限性，不会导致显著的发病率或死亡率。运动性横纹肌溶解是一种病理状况，通常由在炎热环境中重复、过度或长时间运动引起，导致急性肌肉损伤、肾损伤，很少导致死亡。我们报告了一例腺病毒感染导致急性肝衰竭并伴有横纹肌溶解的病例，该病例为一名大学橄榄球运动员，表现为恶心、呕吐和腹泻。我们提出了一项方案，以安全指导患有复杂运动性横纹肌溶解症的患者恢复运动进程。
