title: Massive rhabdomyolysis associated with influenza A infection.
abstract: A 20-year-old male with massive rhabdomyolysis associated with a high fever and acute renal failure is reported. Influenza A infection was confirmed serologically. Myoglobin kinetics was studied in this case. Blood myoglobin fell exponentially independent of renal function or therapeutic modality such as hemodialysis/filtration, once myoglobin release into the circulation ceased. The finding suggested that catabolic steps of myoglobin take place extrarenally in patients with massive rhabdomyolysis and acute renal failure.
authors.affiliation: Department of Medicine, University of Kitasato Medical School, Sagamihara.
authors.forename: Y
authors.initials: Y
authors.lastname: Wakabayashi
authors.forename: T
authors.initials: T
authors.lastname: Nakano
authors.forename: T
authors.initials: T
authors.lastname: Kikuno
authors.forename: T
authors.initials: T
authors.lastname: Ohwada
authors.forename: R
authors.initials: R
authors.lastname: Kikawada
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology; D000328:Adult; D006801:Humans; D009980:Influenza A virus; D007251:Influenza, Human / Q000150:complications*; D008297:Male; D008854:Microscopy, Electron; D018482:Muscle, Skeletal / Q000000981:diagnostic imaging; D009211:Myoglobin / Q000097:blood*; D012206:Rhabdomyolysis / Q000209:etiology* / Q000473:pathology; D014463:Ultrasonography
chemical_list: D009211:Myoglobin