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BMJ Case Reports 2015; doi:10.1136/bcr-2014-209074
  • CASE REPORT

Rhabdomyolysis and acute kidney injury in dengue fever

  1. Satyan Nanda
  1. Department of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Varun Kumar Singh, mailurvarun{at}gmail.com
  • Accepted 2 July 2015
  • Published 14 July 2015

Summary

Rhabdomyolysis is a rare but potentially lethal complication of severe dengue fever. We present a case of 21-year-old man with fever, bodyache and black coloured and decreasing amount of urine. He was positive for NS1 (non-structural protein-1) antigen and IgM antibody for dengue. Platelet count was below 20×109/L and kidney function test was deranged. Urine was positive for myoglobin. The patient was managed emergently on conservative lines and improved in 10 days. Rhabdomyolysis should always be kept in mind in a patient with severe dengue, as its early detection and prompt management can prevent further progression to acute renal failure.

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