Recurrent rhabdomyolysis associated with influenza-like illness in a weight-lifter.
OBJECTIVE
This report describes a unique case of recurring rhabdomyolysis associated with influenza-like illness.


METHODS
A 16-year-old black male, a physically fit weight-lifter, presented complaining of a brief history of upper respiratory infection. He had experienced muscular aches and observed his urine was a brown "Coca Cola" color. He was diagnosed with an influenza-like illness and associated rhabdomyolysis. He had been previously treated for a similar episode of flu-like symptoms and brown urine two years before. The patient was treated with IV fluids and discharged on day seven. He has remained asymptomatic. Post-discharge muscle biopsy results indicated a partial deficiency of carnitine palmitoyltransferase II, a rare defect in mitochondrial metabolism.


CONCLUSIONS
Although traumatic rhabdomyolysis cases have been reported, few case reports have been documented associating an influenza-like illness and rhabdomyolysis. Deficiency of carnitine palmitoyltransferase often causes nonexercise-induced rhabdomyolysis.


CONCLUSIONS
Prevention should consist and a yearly influenza vaccination education on nutrition and exercise.
Orthopaedic Department, Hamot Medical Center, Erie, PA 16550, USA.
J P
JP
Keverline
D000293:Adolescent; D006801:Humans; D007251:Influenza, Human / Q000150:complications*; D008297:Male; D012008:Recurrence; D012206:Rhabdomyolysis / Q000150:complications*; D014891:Weight Lifting