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Compartment Syndrome and Multiple Peripheral Neuropathy Resulting from Influenza A Induced Rhabdomyolysis - A Case Report -
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±è¼±¹Ì(Kim Sun-Mi) - Á¦ÁÖ´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø ÀçÈ°ÀÇÇб³½Ç
±èº¸·Ã(Kim Bo-Ryun) - Á¦ÁÖ´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø ÀçÈ°ÀÇÇб³½Ç
°¼º¿õ(Kang Seong-Woong) - ¿¬¼¼´ëÇб³ ÀÇ°ú´ëÇÐ ÀçÈ°ÀÇÇб³½Ç
ÇÑÀº¿µ(Han Eun-Young) - Á¦ÁÖ´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø ÀçÈ°ÀÇÇб³½Ç
Abstract
We report a case of extensive compartment syndrome of the bilateral upper and lower extremities associated with peripheral sensorimotor neuropathy resulting from skeletal muscle swelling secondary to influenza A infection. A 42-year-old man presented to the emergency room with all four limbs pain, paresis, muscle swelling and renal failure. Rapid influenza antigen detection result was positive. Serum creatine phosphokinase and myoglobin were elevated and T2 weighted MRI demonstrates muscle swelling, rim enhancement around high signal intensity area in both forearms and calves. He was diagnosed with acute viral myositis going to rhadomyolysis combined with compartment syndrome. Fasciotomy could not be done. At 1 monthfollow- up, weakness in distal limbs remained and electrodiagnostic study revealed severe axonal neuropathy of the bilateral upper and lower extremities motor and sensory nerves.
Å°¿öµå
Influenza A, Rhabdomyolysis, Peripheral neuropathy
KMID :
0860920140160010046
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