title: Severe rhabdomyolysis with myocarditis in a 2-year-old child.
abstract: Rhabdomyolysis in children is frequently a complication of a viral infection and typically has a benign course: calf pain and difficulty walking that usually resolve in a few days. Elevated levels of creatine kinase are an indicator of muscle injury. There are few reports of severe rhabdomyolysis in children without underlying metabolic or rheumatologic disease. We describe a case of acute rhabdomyolysis after a viral infection in a previously healthy child. The muscular involvement was so severe that the patient had a respiratory arrest on the second hospital day. The patient also developed cardiac involvement with mild myocardial dysfunction and myoglobinuria, without reduction of renal function.
authors.affiliation: Department of Emergency, University of Florence, Anna Meyer Children’s Hospital, Viale Pieraccini, 24, I-50139 Florence, Italy. francescabechi@virgilio.it
authors.forename: Francesca
authors.initials: F
authors.lastname: Bechi
authors.forename: Silvia
authors.initials: S
authors.lastname: Collini
authors.forename: Donatella
authors.initials: D
authors.lastname: Lasagni
authors.forename: Massimo
authors.initials: M
authors.lastname: Resti
authors.forename: Francesco
authors.initials: F
authors.lastname: Mannelli
mesh_terms: D002675:Child, Preschool; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000150:complications / Q000821:virology*; D012206:Rhabdomyolysis / Q000150:complications / Q000821:virology*; D012720:Severity of Illness Index