Rabdomiólisis como presentación inicial de COVID-19. Caso Clínico

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 initia...

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Autores principales: Toro,Luis, Zamorano,Pedro, Frías,Alondra, Parra-Lucares,Alfredo, Silva,María Fernanda, Almeida,Paula, Bozán,María Francisca, Sanhueza,María Eugenia, Torres,Rubén
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2021
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000500796
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spelling oai:scielo:S0034-988720210005007962021-11-03Rabdomiólisis como presentación inicial de COVID-19. Caso ClínicoToro,LuisZamorano,PedroFrías,AlondraParra-Lucares,AlfredoSilva,María FernandaAlmeida,PaulaBozán,María FranciscaSanhueza,María EugeniaTorres,Rubén Acute Kidney Injury COVID-19 Renal Insufficiency, Chronic Rhabdomyolysis SARS-CoV-2 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.5 20212021-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000500796es10.4067/s0034-98872021000500796
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Acute Kidney Injury
COVID-19
Renal Insufficiency, Chronic
Rhabdomyolysis
SARS-CoV-2
spellingShingle Acute Kidney Injury
COVID-19
Renal Insufficiency, Chronic
Rhabdomyolysis
SARS-CoV-2
Toro,Luis
Zamorano,Pedro
Frías,Alondra
Parra-Lucares,Alfredo
Silva,María Fernanda
Almeida,Paula
Bozán,María Francisca
Sanhueza,María Eugenia
Torres,Rubén
Rabdomiólisis como presentación inicial de COVID-19. Caso Clínico
description 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.
author Toro,Luis
Zamorano,Pedro
Frías,Alondra
Parra-Lucares,Alfredo
Silva,María Fernanda
Almeida,Paula
Bozán,María Francisca
Sanhueza,María Eugenia
Torres,Rubén
author_facet Toro,Luis
Zamorano,Pedro
Frías,Alondra
Parra-Lucares,Alfredo
Silva,María Fernanda
Almeida,Paula
Bozán,María Francisca
Sanhueza,María Eugenia
Torres,Rubén
author_sort Toro,Luis
title Rabdomiólisis como presentación inicial de COVID-19. Caso Clínico
title_short Rabdomiólisis como presentación inicial de COVID-19. Caso Clínico
title_full Rabdomiólisis como presentación inicial de COVID-19. Caso Clínico
title_fullStr Rabdomiólisis como presentación inicial de COVID-19. Caso Clínico
title_full_unstemmed Rabdomiólisis como presentación inicial de COVID-19. Caso Clínico
title_sort rabdomiólisis como presentación inicial de covid-19. caso clínico
publisher Sociedad Médica de Santiago
publishDate 2021
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000500796
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