小儿爱泼斯坦-巴尔病毒相关横纹肌溶解症并发急性骨筋膜室综合征的减压筋膜切开术治疗

Paediatric Epstein-Barr virus-associated rhabdomyolysis complicated by acute compartment syndrome treated with decompressive fasciotomy.

作者信息

Koike Masamichi, Oba Masatoshi, Tanoue Koji, Mori Satomi

机构信息

Department of General Medicine, Kanagawa Children's Medical Center, Yokohama, Kanagawa Prefecture, Japan

Department of Orthopedic Surgery, Kanagawa Children's Medical Center, Yokohama, Kanagawa Prefecture, Japan.

出版信息

BMJ Case Rep. 2025 Sep 18;18(9):e266658. doi: 10.1136/bcr-2025-266658.

DOI:10.1136/bcr-2025-266658

PMID:40973216

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12477421/

Abstract

Epstein-Barr virus (EBV) is a common virus that causes paediatric rhabdomyolysis. Acute compartment syndrome is a rare complication of rhabdomyolysis that can lead to severe consequences. We report the case of a previously healthy boy in early childhood with EBV-associated rhabdomyolysis complicated by acute compartment syndrome that required decompressive fasciotomy. The patient recovered without loss of strength, sensation or range of motion. This case report aims to focus attention on serious complications such as acute compartment syndrome that can occur with common viruses.

摘要

爱泼斯坦-巴尔病毒（EBV）是一种常见病毒，可导致小儿横纹肌溶解症。急性骨筋膜室综合征是横纹肌溶解症的一种罕见并发症，可导致严重后果。我们报告了一例幼儿期以前健康的男孩，其患有与EBV相关的横纹肌溶解症，并并发急性骨筋膜室综合征，需要进行减压筋膜切开术。患者康复后未出现力量、感觉或活动范围丧失的情况。本病例报告旨在引起人们对常见病毒可能引发的诸如急性骨筋膜室综合征等严重并发症的关注。