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Rare complication of four extremity compartment syndrome requiring fasciotomy from influenza A viral myositis
  1. Arion Lochner,
  2. Robert Cesaro and
  3. Eric Chen
  1. Department of Emergency Medicine, Henry Ford Health System, Detroit, Michigan, USA
  1. Correspondence to Dr Robert Cesaro; rcesaro1{at}


Influenza A and B commonly cause benign respiratory disease in humans, but can cause more severe illness in high-risk populations. We report an unusual case of a previously healthy adult patient who presented with myositis and severe rhabdomyolysis secondary to influenza A infection that resulted in atraumatic compartment syndrome of all four extremities, each requiring emergent fasciotomy. The patient was subsequently managed with delayed primary closure and skin grafting in the operating room. Prompt recognition of this rare complication by the team resulted in no limb amputations. On his first follow-up appointment, 1 month after discharge, he had regained full functionality in both his hands and his feet were both close to 50% of baseline and improving with physical therapy.

  • infectious diseases
  • plastic and reconstructive surgery
  • adult intensive care
  • influenza

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  • Contributors RC interviewed the patient for a detailed timeline of events and writing of the case report. He is the guarantor. AL conducted the literature review and writing of the case report. EC participated in writing of the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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