title: Postinfectious Rhabdomyolysis in a 5-Year-Old Boy: When to Look a Little Deeper.
abstract: We report on a 5-year-old boy with recurrent severe postinfectious rhabdomyolysis who, after systematic stepwise evaluation, was found to have the adult form of carnitine palmityl transferase II (CPT II) deficiency directly by blood mutation analysis. Timely diagnosis of CPT II deficiency in this case prevented further potentially devastating episodes of rhabdomyolysis by avoiding triggering factors.
  
  
  CONCLUSIONS
  Although most cases of rhabdomyolysis are nonrecurrent and benign, a metabolic myopathy, such as CPT II deficiency, should be suspected in children with episodic muscle necrosis and paroxysmal myoglobinuria.
authors.affiliation: From the *Second Department of Pediatrics, University of Athens Medical School and †Department of Pediatric Neurology, 'P. & A. Kyriakou' Children's Hospital, Athens, Greece.
authors.forename: Anastasia
authors.initials: A
authors.lastname: Garoufi
authors.forename: George
authors.initials: G
authors.lastname: Vartzelis
authors.forename: Lydia
authors.initials: L
authors.lastname: Kossiva
authors.forename: Eustathia
authors.initials: E
authors.lastname: Katsarou
authors.forename: Alexandra
authors.initials: A
authors.lastname: Soldatou
mesh_terms: D002334:Carnitine O-Palmitoyltransferase / Q000172:deficiency* / Q000235:genetics; D002675:Child, Preschool; D004252:DNA Mutational Analysis; D006801:Humans; D008052:Lipid Metabolism, Inborn Errors / Q000175:diagnosis*; D008297:Male; D028361:Mitochondrial Diseases / Q000175:diagnosis*; D009135:Muscular Diseases / Q000175:diagnosis*; D009154:Mutation; D012206:Rhabdomyolysis / Q000175:diagnosis* / Q000382:microbiology
chemical_list: D002334:Carnitine O-Palmitoyltransferase