A case of H3N2 complicated by acute kidney injury secondary to rhabdomyolysis

Sriram Gonakoti, Janak Bahirwani, Raja Naga Mahesh Maddala, Sudha Vidyasagar

Research output: Contribution to journalArticle

Abstract

H3N2 was first detected in July 2011 in the USA. It is responsible for sporadic cases of influenza and localised outbreaks and has not yet taken over on an epidemic or pandemic scale. An 84-year-old man presented with a dry cough, fever and myalgia for 3 days. On examination, he had a pulse of 98 bpm and blood pressure of 124/88 mm Hg. The patient was tachypnoeic, SpO 2 was 90%. Auscultation revealed bilateral diffuse wheeze and crackles. He had generalised muscle tenderness on examination. On admission, creatinine was 1.9 mg/dL and CK(creatine kinase) was 44 000 U/L. Chest X-ray was suggestive of ARDS (acute respiratory distress syndrome). Throat swab was positive for H3N2. The patient was given intravenous fluids, oral sodium bicarbonate, oxygen and oseltamivir tablet. In view of ARDS, he was given intravenous methylprednisolone and bronchodilators for bronchospasm. The patient improved symptomatically; vitals and lab reports were normal at the time of discharge.

LanguageEnglish
Article number224334
JournalBMJ Case Reports
Volume2018
DOIs
Publication statusPublished - 01-01-2018

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Rhabdomyolysis
Acute Kidney Injury
Myalgia
Adult Respiratory Distress Syndrome
Oseltamivir
Auscultation
Bronchial Spasm
Sodium Bicarbonate
Bronchodilator Agents
Respiratory Sounds
Methylprednisolone
Pandemics
Creatine Kinase
Pharynx
Cough
Human Influenza
Tablets
Disease Outbreaks
Creatinine
Fever

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Gonakoti, Sriram ; Bahirwani, Janak ; Maddala, Raja Naga Mahesh ; Vidyasagar, Sudha. / A case of H3N2 complicated by acute kidney injury secondary to rhabdomyolysis. In: BMJ Case Reports. 2018 ; Vol. 2018.
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A case of H3N2 complicated by acute kidney injury secondary to rhabdomyolysis. / Gonakoti, Sriram; Bahirwani, Janak; Maddala, Raja Naga Mahesh; Vidyasagar, Sudha.

In: BMJ Case Reports, Vol. 2018, 224334, 01.01.2018.

Research output: Contribution to journalArticle

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