Rabdomiólisis como presentación inicial de COVID-19. Caso Clínico

COVID-19 infection causes a systemic inflammatory response, which mainly presents as a febrile syndrome with respiratory involvement. We report a 37-year-old male who consulted for myalgia, nausea and epigastric pain lasting three days. On admission, he had crepitations at the lung bases. The initial laboratory showed a creatine kinase of 62,768 U/L, a LDH of 1,110 IU/L, a creatinine a 2.1 mg/dL, an aspartate aminotransferase of 1,347 IU/L, a D-dimer of 1,140 ng/mL, a ferritin of 1,201 ng/mL and a lymphocyte count of 810 cells/mm3. The chest CT scan was compatible with multifocal pneumonia, suggesting a COVID-19 infection. COVID-19 PCR was positive. The patient was managed with hydration, sodium bicarbonate, ceftriaxone, and azithromycin, with a good clinical response.

Bibliographic Details

Main Authors:	Toro,Luis, Zamorano,Pedro, Frías,Alondra, Parra-Lucares,Alfredo, Silva,María Fernanda, Almeida,Paula, Bozán,María Francisca, Sanhueza,María Eugenia, Torres,Rubén
Format:	Digital revista
Language:	Spanish / Castilian
Published:	Sociedad Médica de Santiago 2021
Online Access:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000500796
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