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Rhabdomyolysis Associated With 2009 Influenza A(H1N1)
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To the Editor: Rhabdomyolysis, which has been associated with infections from various strains of influenza,1 requires prompt clinical suspicion and targeted clinical management to prevent renal failure. We are not aware of prior reports of rhabdomyolysis in patients with 2009 influenza A(H1N1)–induced respiratory failure.
Report of a Case
A 28-year-old woman presented in June 2009 with 1 week of shortness of breath, muscle aches, and fevers. Two days before presentation, she had been prescribed moxifloxacin and hydrocodone/acetaminophen for presumed pneumonia without any significant improvement. She denied any significant medical history or regular medication use prior to her illness, had a family history of sickle cell trait, and smoked 2 to 3 cigarettes daily for 1 year. On examination, she was obese (body mass index, 40; calculated as weight in kilograms divided by height in meters squared), febrile (body temperature, 38.3°C), tachycardic, and tachypneic, with a digital pulse oximetry saturation of 80% on room air.
. . . [Full Text of this Article]
Estela Ayala, MD
Pulmonary and Critical Care Division
Stanford University Medical Center
Stanford, California
Frank T. Kagawa, MD
frank.kagawa@hhs.co.santa-clara.ca.us
John H. Wehner, MD
Division of Respiratory and Critical Care Medicine
James Tam, MD
Department of Medicine
Santa Clara Valley Medical Center
San Jose, California
Daya Upadhyay, MD
Pulmonary and Critical Care Division
Stanford University Medical Center
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