RT Journal Article
SR Electronic
T1 Illegal immigration: the puzzling role of several risk factors for rhabdomyolysis
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr-2017-221511
DO 10.1136/bcr-2017-221511
VO 2018
A1 Laura Colavita
A1 Valeria Dipasquale
A1 Giovanni Stroscio
A1 Carmelo Salpietro
YR 2018
UL http://casereports.bmj.com/content/2018/bcr-2017-221511.abstract
AB A 14-year-old boy presented with low-grade fever, widespread myalgia and difficulty in walking and standing 2 days after the undocumented trip which brought him from western Africa to Italy. His serum creatine phosphokinase was markedly elevated. He was diagnosed with rhabdomyolysis and was volume-restored with normal saline and bicarbonate-containing fluid. Anamnesis revealed illegal, not well-specified, forced consumption in his fatherland, and very bad conditions of the trip (prolonged immobility, dehydration, hypothermia). Workup included a respiratory microbiological panel which was positive for Chlamydia pneumoniae. Other microbiological agents were excluded. After 3 weeks, he recovered complete motility. Undocumented immigrants may present several risk factors for rhabdomyolysis that give to this group of individuals a higher risk of developing this disorder.