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Article in Japanese

Rhabdomyolysis associated with RS virus infection in a child with severe motor intellectual disabilities

Masako HABU, Chikako ARAKAWA, Wakako ISHII, Ayumi ENDOU, Ryutaro KOHIRA, Tatsuo FUCHIGAMI, Yukihiko FUJITA, Hideo MUGISHIMA

The patient is a four-year-old boy with severe motor and intellectual disabilities due to severe neonatal asphyxia, and he developed infantile spasms when he was six months old. After the disappearance of epileptic seizure he took daily sodium valproate (VPA). He presented with pyrexia and elevated serum CK levels. RS virus was detected using rapid antigen test from a nasal mucous specimen. Occult blood and myoglobin were positive in the urine. Based on the above results we diagnosed him with rhabdomyolysis. He was treated successfully with extensive hydration.
In rare cases, we suggest RS virus may be a cause of rhabdomyolysis, particularly if the patient has accompanied diseases.

Department of Pediatrics & Child Health, Nihon University School of Medicine

Key words
Received February 17, 2010
Accepted September 29, 2010

23 (1):17─21,2011