Rabdomiólisis como presentación inicial de COVID-19. Caso Clínico
- Autores: Luis Toro, Pedro Zamorano, Alondra Frías, Alfredo Parra-Lucares, María Fernanda Silva, Paula Almeida, María Francisca Bozán, María Eugenia Sanhueza, Rubén Torres
- Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 149, Nº. 5, 2021, págs. 796-802
- Idioma: español
- Títulos paralelos:
- Rhabdomyolysis as the presentation form of COVID-19 infection. Report of one case
- Enlaces
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Resumen
COVID-19 infection causes a systemic inflammatory response, which mainly presents as a febrile syndrome with respiratory involvement. We report a 37-year-old male who consulted for myalgia, nausea and epigastric pain lasting three days. On admission, he had crepitations at the lung bases. The initial laboratory showed a creatine kinase of 62,768 U/L, a LDH of 1,110 IU/L, a creatinine a 2.1 mg/dL, an aspartate aminotransferase of 1,347 IU/L, a D-dimer of 1,140 ng/mL, a ferritin of 1,201 ng/mL and a lymphocyte count of 810 cells/mm3. The chest CT scan was compatible with multifocal pneumonia, suggesting a COVID-19 infection. COVID-19 PCR was positive. The patient was managed with hydration, sodium bicarbonate, ceftriaxone, and azithromycin, with a good clinical response.
