title: [A case of rhabdomyolysis associated with Salmonella encephalopathy].
abstract: 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.
authors.affiliation: Department of Pediatrics, Nihon University School of Medicine, Tokyo.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Miyabayashi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yamamori
authors.forename: Atsushi
authors.initials: A
authors.lastname: Nishimura
authors.forename: Ryutaro
authors.initials: R
authors.lastname: Kohira
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Fujita
authors.forename: Osami
authors.initials: O
authors.lastname: Okubo
authors.forename: Kensuke
authors.initials: K
authors.lastname: Harada
mesh_terms: 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*