Mild rhabdomyolysis in a child with fever and "hematuria".
Rhabdomyolysis represents a life-threatening condition, which results in release of cellular contents (myoglobin, enzymes, and electrolytes) into the plasma. We report a pediatric patient with mild rhabdomyolysis who had a favorable outcome. A 3-year-old girl had been ill for 2 days with high fever, anorexia, pain in both thighs, and passage of dark-red urine. Myoglobinuria was demonstrated by a "blood"-positive dipstick in the absence of red blood cells in the urinary sediment. Diagnosis was confirmed by the presence of a high serum creatine kinase activity. The child was treated on an outpatient basis and has shown full clinical and biochemical recovery. There has been no recurrence of myoglobinuria during the 2-year follow-up.
Department of Pediatric Nephrology, Clinic for Children's Diseases, Medical School Skopje, 17 Vodnjanska, 1000, Skopje, Macedonia. vtasic@freemail.com.mk
Velibor
V
Tasic
Vladimir
V
Avramoski
Petar
P
Korneti
D000553:Ambulatory Care; D002675:Child, Preschool; D005260:Female; D005334:Fever / Q000150:complications* / Q000628:therapy / Q000821:virology; D006417:Hematuria / Q000209:etiology / Q000628:therapy; D006801:Humans; D009212:Myoglobinuria / Q000209:etiology* / Q000628:therapy; D012206:Rhabdomyolysis / Q000150:complications* / Q000628:therapy / Q000821:virology