title: Severe rhabdomyolysis associated with a primary cytomegalovirus infection in an immunocompetent patient.
abstract: Virus-induced rhabdomyolysis rarely induces respiratory failure. We discuss here a case of severe rhabdomyolysis with acute respiratory failure secondary to a cytomegalovirus (CMV) primary infection. We report a case of severe acute rhabdomyolysis, leading to respiratory failure and mechanical ventilation, associated with CMV primary infection in a young and otherwise healthy woman. We excluded other aetiologies such as metabolic myopathies, electrolyte disorders or Guillain-Barré syndrome with exhaustive researches. After 1 year, the patient recovered completely, apart from a slight muscle deconditioning. In this report, we compare our patient with five other similar cases found in the literature; our patient had the most severe presentation. The mechanism of acute viral-induced rhabdomyolysis remains elusive.
authors: Department of Internal Medicine,  CHU de Saint-Etienne, Saint-Etienne,  France.
authors: Héloïse
authors: H
authors: Gindre
authors: Léonard
authors: L
authors: Féasson
authors: Christian
authors: C
authors: Auboyer
authors: Pascal
authors: P
authors: Cathébras
mesh_terms: D000208:Acute Disease; D000328:Adult; D001706:Biopsy; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000175:diagnosis; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007121:Immunocompetence; D018482:Muscle, Skeletal / Q000473:pathology; D012206:Rhabdomyolysis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology