MASSIVE RHABDOMYOLYSIS ASSOCIATED WITH INFLUENZA-A INFECTION

A 20-year-old male with massive rhabdomyolysis associated with a high fever and acute renal failure is reported. Influenza A infection was c onfirmed serologically. Myoglobin kinetics was studied in this case. B lood myoglobin fell exponentially independent of renal function or the rapeutic modality such as hemodialysis/filtration, once myoglobin rele ase into the circulation ceased. The finding suggested that catabolic steps of myoglobin take place extrarenally in patients with massive rh abdomyolysis and acute renal failure.