Case Report: Rhabdomyolysis in a Patient with COVID-19: A Proposed Diagnostic-Therapeutic Algorithm | Zendy

José Gabriel Solís | Zendy; Alejandra Esquivel Pineda | Zendy; Paolo AlbertiMinutti | Zendy; Alejandra AlbarránSánchez | Zendy

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Case Report: Rhabdomyolysis in a Patient with COVID-19: A Proposed Diagnostic-Therapeutic Algorithm

Author(s) -

José Gabriel Solís,

Alejandra Esquivel Pineda,

Paolo AlbertiMinutti,

Alejandra AlbarránSánchez

Publication year - 2020

Publication title -

american journal of tropical medicine and hygiene

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.015

H-Index - 151

eISSN - 1476-1645

pISSN - 0002-9637

DOI - 10.4269/ajtmh.20-0692

Subject(s) - rhabdomyolysis , medicine , covid-19 , intensive care medicine , therapeutic approach , acute kidney injury , respiratory system , algorithm , pathology , computer science , disease , infectious disease (medical specialty) , outbreak

COVID-19 represents the greatest health challenge of modern years. The spectrum of illness comprises respiratory and non-respiratory manifestations. We report the case of an adult man with COVID-19 who presented with rhabdomyolysis as a principal extrapulmonary manifestation. Our patient presented with dyspnea, fever, and muscle pain. After a comprehensive approach, the diagnosis of COVID-19 and rhabdomyolysis was made. He developed acute kidney injury requiring renal replacement therapy without reversibility, despite optimal treatment. We performed a literature search for similar cases, discuss the potential mechanisms implied, and propose a diagnostic-therapeutic algorithm.

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