[A case of rhabdomyolysis associated with Salmonella encephalopathy].
We report a case of severe rhabdomyolysis associated with Salmonella encephalopathy. A 3-year-old girl was admitted to our hospital because of status convulsives and unconsciousness. She was diagnosed as having Salmonella encephalopathy with rhabdmyolysis, and was treated by mild hypothermia and mechanical ventilation. Five days later she developed anuria with increased serum levels of myoglobin, CK and creatinine. And the diagnosis of acute renal failure was made. Peritoneal dialysis was begun from 6 days after admission. Hyperinfusion, the usual therapy of rhabdomyolysis, was not performed. She survived showing gradual improvement of renal function and consciousness. In a case of rhabdomyolysis complicating a neurologic disorder, a well-known poor prognostic factor, priority should be given to brain protection rather than to symptomatic treatment of rhabdomyolysis.
Miyabayashi
Hiroshi
H
Department of Pediatrics, Nihon University School of Medicine, Tokyo.
Yamamori
Hiroyuki
H
Nishimura
Atsushi
A
Kohira
Ryutaro
R
Fujita
Yukihiko
Y
Okubo
Osami
O
Harada
Kensuke
K
D058186:Acute Kidney Injury / Q000209:etiology / Q000628:therapy; D001927:Brain Diseases / Q000150:complications / Q000382:microbiology*; D001929:Brain Edema / Q000150:complications; D002675:Child, Preschool; D005260:Female; D006801:Humans; D011379:Prognosis; D012206:Rhabdomyolysis / Q000209:etiology*; D012480:Salmonella Infections / Q000150:complications*