Rabdomyolysis in patient with dengue infection: case report

Detalhes bibliográficos
Autor(a) principal: Santana, Nina Maia
Data de Publicação: 2021
Outros Autores: Rocha, Bruno de Oliveira
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Baiana de Saúde Pública (Online)
Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3549
Resumo: Reports on rhabdomyolysis as a complication of dengue are scarce in the literature. This study warns about such a possibility, especially considering the high incidence of dengue in Brazil and the importance of early management to avoid an unfavorable outcome for the patient. The case consists of a 54-year-old patient admitted to the hospital with complains of acute weakness, severe lower limb pain, abdominal pain, nausea, vomiting, and anuria. Clinical evaluation indicated acute renal dysfunction in dialysis emergency with severe metabolic acidosis, as well as hyperuricemia, hyponatremia, hypocalcemia, and hyperkalemia, with creatine phosphokinase (CPK) values equal to 125.010 and myoglobin to 318.28. The patient was discharged with recovery of renal function after three hemodialysis sessions. Serology results were positive for dengue IgM one month and ten days after hospital admission.
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spelling Rabdomyolysis in patient with dengue infection: case reportRabdomiolisis en paciente con infección por dengue: reporte de un casoRabdomiólise em paciente com infecção por dengue: relato de casoRabdomióliseDengueHemodiáliseRabdomiólisisDengueHemodiálisisRhabdomyolysisDengueHemodialysisReports on rhabdomyolysis as a complication of dengue are scarce in the literature. This study warns about such a possibility, especially considering the high incidence of dengue in Brazil and the importance of early management to avoid an unfavorable outcome for the patient. The case consists of a 54-year-old patient admitted to the hospital with complains of acute weakness, severe lower limb pain, abdominal pain, nausea, vomiting, and anuria. Clinical evaluation indicated acute renal dysfunction in dialysis emergency with severe metabolic acidosis, as well as hyperuricemia, hyponatremia, hypocalcemia, and hyperkalemia, with creatine phosphokinase (CPK) values equal to 125.010 and myoglobin to 318.28. The patient was discharged with recovery of renal function after three hemodialysis sessions. Serology results were positive for dengue IgM one month and ten days after hospital admission.La rabdomiólisis como complicación del dengue está poco implementada en la literatura y poco reportada, y este caso trae una advertencia para recordar esta posibilidad, principalmente por la alta incidencia del dengue en el país en el que vivimos y la importancia del manejo inicial, evitando un desfavorable resultado para el paciente. Se trata de un paciente de 54 años que inicia debilidad aguda, dolor severo en miembros inferiores, dolor abdominal, náuseas, vómitos y anuria. Se evidenció disfunción renal aguda en urgencia de diálisis con acidosis metabólica severa, además de hiperuricemia, hiponatremia, hipocalcemia e hiperpotasemia, con valores de creatinfosfoquinasa (CPK)de 125.010 y mioglobina de 318,28. El paciente requirió tres sesiones de hemodiálisis y fue dado de alta con recuperación de la función renal. El resultado de la serología IgM para el dengue fue positivoun mes y diez días después del ingreso hospitalario.A rabdomiólise como complicação da dengue é subnotificada e pouco descrita na literatura. O presente caso traz um alerta para recordar tal possibilidade, principalmente devido à alta incidência da dengue no Brasil e da importância do manejo inicial, que pode evitar um desfecho desfavorável. Este relato trata de um paciente de 54 anos que iniciou com quadro agudo de fraqueza, com dor intensa em membros inferiores, dor abdominal, náuseas, vômitos e anúria. Foi observada evidente disfunção renal aguda em urgência dialítica com acidose metabólica grave, além de hiperuricemia, hiponatremia, hipocalcemia e hipercalemia, com valores de creatinofosfoquinase (CPK) de 125.010 e de mioglobina, 318,28. O paciente necessitou de três sessões de hemodiálise e recebeu alta com recuperação da função renal. O resultado da sorologia IgM para dengue foi positivo após um mês e dez dias da admissão hospitalar.SESAB2021-12-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/354910.22278/2318-2660.2021.v45.nSupl_2.a3549Revista Baiana de Saúde Pública; v. 45 n. supl. 2 (2021); 48-572318-26600100-023310.22278/2318-2660.2021.v45.NSupl_2reponame:Revista Baiana de Saúde Pública (Online)instname:Secretaria da Saúde do Estado da Bahia (Sesab)instacron:IBICTporhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3549/2886Copyright (c) 2021 Revista Baiana de Saúde Públicainfo:eu-repo/semantics/openAccessSantana, Nina Maia Rocha, Bruno de Oliveira 2023-02-13T17:00:34Zoai:ojs.pkp.sfu.ca:article/3549Revistahttps://rbsp.sesab.ba.gov.br/index.php/rbspPUBhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/oai||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br2318-26600100-0233opendoar:2024-03-06T12:58:21.451723Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)false
dc.title.none.fl_str_mv Rabdomyolysis in patient with dengue infection: case report
Rabdomiolisis en paciente con infección por dengue: reporte de un caso
Rabdomiólise em paciente com infecção por dengue: relato de caso
title Rabdomyolysis in patient with dengue infection: case report
spellingShingle Rabdomyolysis in patient with dengue infection: case report
Santana, Nina Maia
Rabdomiólise
Dengue
Hemodiálise
Rabdomiólisis
Dengue
Hemodiálisis
Rhabdomyolysis
Dengue
Hemodialysis
title_short Rabdomyolysis in patient with dengue infection: case report
title_full Rabdomyolysis in patient with dengue infection: case report
title_fullStr Rabdomyolysis in patient with dengue infection: case report
title_full_unstemmed Rabdomyolysis in patient with dengue infection: case report
title_sort Rabdomyolysis in patient with dengue infection: case report
author Santana, Nina Maia
author_facet Santana, Nina Maia
Rocha, Bruno de Oliveira
author_role author
author2 Rocha, Bruno de Oliveira
author2_role author
dc.contributor.author.fl_str_mv Santana, Nina Maia
Rocha, Bruno de Oliveira
dc.subject.por.fl_str_mv Rabdomiólise
Dengue
Hemodiálise
Rabdomiólisis
Dengue
Hemodiálisis
Rhabdomyolysis
Dengue
Hemodialysis
topic Rabdomiólise
Dengue
Hemodiálise
Rabdomiólisis
Dengue
Hemodiálisis
Rhabdomyolysis
Dengue
Hemodialysis
description Reports on rhabdomyolysis as a complication of dengue are scarce in the literature. This study warns about such a possibility, especially considering the high incidence of dengue in Brazil and the importance of early management to avoid an unfavorable outcome for the patient. The case consists of a 54-year-old patient admitted to the hospital with complains of acute weakness, severe lower limb pain, abdominal pain, nausea, vomiting, and anuria. Clinical evaluation indicated acute renal dysfunction in dialysis emergency with severe metabolic acidosis, as well as hyperuricemia, hyponatremia, hypocalcemia, and hyperkalemia, with creatine phosphokinase (CPK) values equal to 125.010 and myoglobin to 318.28. The patient was discharged with recovery of renal function after three hemodialysis sessions. Serology results were positive for dengue IgM one month and ten days after hospital admission.
publishDate 2021
dc.date.none.fl_str_mv 2021-12-27
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3549
10.22278/2318-2660.2021.v45.nSupl_2.a3549
url https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3549
identifier_str_mv 10.22278/2318-2660.2021.v45.nSupl_2.a3549
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3549/2886
dc.rights.driver.fl_str_mv Copyright (c) 2021 Revista Baiana de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Revista Baiana de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SESAB
publisher.none.fl_str_mv SESAB
dc.source.none.fl_str_mv Revista Baiana de Saúde Pública; v. 45 n. supl. 2 (2021); 48-57
2318-2660
0100-0233
10.22278/2318-2660.2021.v45.NSupl_2
reponame:Revista Baiana de Saúde Pública (Online)
instname:Secretaria da Saúde do Estado da Bahia (Sesab)
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instname_str Secretaria da Saúde do Estado da Bahia (Sesab)
instacron_str IBICT
institution IBICT
reponame_str Revista Baiana de Saúde Pública (Online)
collection Revista Baiana de Saúde Pública (Online)
repository.name.fl_str_mv Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)
repository.mail.fl_str_mv ||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br
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