Yeungnam Univ J Med.  2012 Jun;29(1):28-30. 10.12701/yujm.2012.29.1.28.

Rhabdomyolysis and Mild Kidney Injury in a Patient with Acute Hepatitis A

Affiliations
  • 1Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
  • 2Department of Internal Medicine, Uijeongbu St. Mary's Hospital, Uijeongbu, Korea. cwkim@catholic.ac.kr

Abstract

A 48-year-old male visited the emergency room of the authors' hospital due to nausea, vomiting, and myalgia for four days. Acute hepatitis A was identified from the serologic marker of the hepatitis A virus. Mild elevation of the serum creatinine and creatinine phosphokinase (CPK) suggested rhabomyolysis, which was confirmed with the serum aldolase, myoglobin, and urine myoglobin. With supportive care, both the liver and renal functions were recovered gradually and fully. This case shows that rhabdomyolysis can be one of the mechanisms of renal complication in cases of acute symptomatic hepatitis A.

Keyword

Hepatitis A; Rhabdomyolysis; Acute kidney injury

MeSH Terms

Acute Kidney Injury
Creatinine
Emergencies
Fructose-Bisphosphate Aldolase
Hepatitis
Hepatitis A
Hepatitis A virus
Humans
Kidney
Liver
Male
Middle Aged
Myoglobin
Nausea
Rhabdomyolysis
Vomiting
Creatinine
Fructose-Bisphosphate Aldolase
Myoglobin
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