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流感和新冠疫苗接种背景下的多发性肌炎与严重横纹肌溶解症:一例报告

Polymyositis and Severe Rhabdomyolysis in the Context of Influenza and COVID-19 Vaccination: A Case Report.

作者信息

Ghiletchi Angela, Leão Rodrigo, Coelho Carolina, Ferreira Inês, Bernardino Rita

机构信息

Internal Medicine, Centro Hospitalar de Lisboa Central, Lisbon, PRT.

Internal Medicine, NOVA Medical School, Lisbon, PRT.

出版信息

Cureus. 2024 Aug 15;16(8):e66957. doi: 10.7759/cureus.66957. eCollection 2024 Aug.

Abstract

Rhabdomyolysis is characterized by muscle breakdown and the release of muscle enzymes into the bloodstream, which can lead to acute kidney injury (AKI) and electrolyte imbalances. This case report details a 52-year-old male who developed severe rhabdomyolysis and polymyositis following influenza and SARS-COV-2 vaccinations. Presenting with severe muscle pain and elevated creatine kinase (CK) levels, the patient's condition was managed with aggressive hydration and supportive care, resulting in significant recovery. While vaccine-related adverse effects such as myositis and rhabdomyolysis are rare, this case underscores the need for vigilance in monitoring post-vaccination complications and highlights the importance of recognizing and promptly treating vaccine-associated inflammatory myopathies to prevent severe complications. The findings contribute to the growing body of literature on vaccine-induced myopathies and emphasize the necessity of a multidisciplinary approach in managing such complex cases.

摘要

横纹肌溶解症的特征是肌肉分解以及肌肉酶释放到血液中,这可能导致急性肾损伤(AKI)和电解质失衡。本病例报告详细介绍了一名52岁男性,他在接种流感疫苗和新冠病毒疫苗后出现了严重的横纹肌溶解症和多发性肌炎。患者表现为严重的肌肉疼痛和肌酸激酶(CK)水平升高,通过积极补液和支持性治疗对其病情进行了处理,最终实现了显著康复。虽然诸如肌炎和横纹肌溶解症等与疫苗相关的不良反应很少见,但该病例强调了在监测疫苗接种后并发症时保持警惕的必要性,并突出了识别和及时治疗疫苗相关炎症性肌病以预防严重并发症的重要性。这些发现为关于疫苗诱导性肌病的文献不断增多做出了贡献,并强调了采用多学科方法处理此类复杂病例的必要性。

相似文献

本文引用的文献

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Rhabdomyolysis.横纹肌溶解症。
Dis Mon. 2020 Aug;66(8):101015. doi: 10.1016/j.disamonth.2020.101015. Epub 2020 Jun 10.

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