Rhabdomyolysis in Stuve-Wiedemann syndrome

BMJ Case Rep. 2018 Feb 8:2018:bcr2017222863. doi: 10.1136/bcr-2017-222863.

Abstract

A 6-month-old male infant with Stuve-Wiedemann syndrome (SWS) presented with an acute respiratory arrest secondary to a rhinovirus respiratory infection from which he was rapidly resuscitated. He developed an acute kidney injury requiring supportive treatment and on day 3 of his illness was noted to have developed severe rhabdomyolysis (creatine kinase level 132 040 U/L (normal <320 U/L)). He was born from consanguineous parents with homozygous mutations in the leukaemia inhibitory factor receptor. He had skeletal dysplasia with metabolic bone disease and episodes of hyperthermia with lactic acidosis. He also had paroxysmal ventricular tachycardia treated with prophylactic propranolol. This is a case report of a child with SWS who had a febrile illness and epileptic seizures which led to severe rhabdomyolysis outside the context of anaesthesia, and we would like to draw the attention of clinicians to this potential complication.

Keywords: congenital disorders; muscle disease.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple
  • Acute Kidney Injury / complications
  • Alanine Transaminase / blood
  • Creatine Kinase / blood
  • Exostoses, Multiple Hereditary / blood
  • Exostoses, Multiple Hereditary / complications*
  • Exostoses, Multiple Hereditary / genetics
  • Fever / etiology
  • Frameshift Mutation
  • Head / diagnostic imaging
  • Humans
  • Infant
  • Intensive Care Units, Pediatric
  • Leukemia Inhibitory Factor Receptor alpha Subunit / genetics
  • Male
  • Osteochondrodysplasias / blood
  • Osteochondrodysplasias / complications*
  • Osteochondrodysplasias / genetics
  • Respiratory Insufficiency / complications
  • Respiratory Insufficiency / therapy
  • Resuscitation
  • Rhabdomyolysis / complications*
  • Seizures / complications*
  • Seizures / therapy

Substances

  • LIFR protein, human
  • Leukemia Inhibitory Factor Receptor alpha Subunit
  • Alanine Transaminase
  • Creatine Kinase

Supplementary concepts

  • Stuve-Wiedemann syndrome