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Indexed/Abstracted in: Chemical Abstracts, CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Keverline J. P.
Orthopaedic Department, Hamot Medical Center, Erie, PA, USA
Objective. This report describes a unique case of recurring rhabdomyolysis associated with influenza-like illness.
Patient. A 16-year-old black male, a physically fit weight-lifter, presented complaining of a brief history of upper respiratory infection. He had experienced muscular aches and observed his urine was a brown “Coca Cola” color. He was diagnosed with an influenza-like illness and associated rhabdomyolysis. He had been previously treated for a similar episode of flu-like symptoms and brown urine two years before. The patient was treated with IV fluids and discharged on day seven. He has remained asymptomatic. Post-discharge muscle biopsy results indicated a partial deficiency of carnitine palmitoyltransferase II, a rare defect in mitochondrial metabolism.
Discussion. Although traumatic rhabdomyolysis cases have been reported, few case reports have been documented associating an influenza-like illness and rhabdomyolysis. Deficiency of carnitine palmitoyltransferase often causes nonexercise-induced rhabdomyolysis.
Conclusion. Prevention should consist and a yearly influenza vaccination education on nutrition and exercise.