超越肝脏:揭开甲型肝炎罕见并发症横纹肌溶解症的面纱。

Q3 Medicine
European journal of case reports in internal medicine Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI:10.12890/2024_004599
Yash R Shah, Angad Tiwari, Dushyant Singh Dahiya, Veslav Stecevic, Zunirah Ahmed
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引用次数: 0

摘要

甲型肝炎是一种轻微的肝脏自限性感染,大多数病例的症状可自行缓解。但是,临床医生应了解一些常见的甲型肝炎并发症和肝外表现,以便及时诊断和治疗。横纹肌溶解症是甲型肝炎的一种极为罕见的并发症,很少有文献报道。我们介绍了一例 64 岁男性的病例,他的症状与急性甲型肝炎继发的横纹肌溶解症和皮疹一致。本病例强调了识别和治疗急性甲型肝炎感染非典型表现的重要性:识别非典型表现:本病例强调了识别和治疗急性甲型肝炎感染非典型表现的重要性。临床医生应警惕常见感染的异常表现,以便及时诊断和采取适当的治疗措施:横纹肌溶解症被认为是甲型肝炎感染的一种极为罕见的并发症,在文献中鲜有记载。本病例有助于加深对甲型肝炎相关肝外表现的认识,强调了在鉴别诊断中考虑不常见并发症的重要性,尤其是在观察到典型临床表现时:文章讨论了急性甲型肝炎继发横纹肌溶解症的治疗方法,包括积极的液体复苏以防止肌红蛋白尿引起的肾损伤、纠正电解质失衡和代谢异常。此外,接种甲型肝炎疫苗和倡导卫生措施也是重要的预防策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Beyond the Liver: Unveiling Rhabdomyolysis as a Rare Complication of Hepatitis A.

Hepatitis A is a mild self-limiting infection of the liver with spontaneous resolution of symptoms in most cases. However, clinicians should be aware of some commonly encountered complications and extrahepatic manifestations associated with hepatitis A for timely diagnosis and treatment. Rhabdomyolysis, an exceedingly rare complication of hepatitis A, is scarcely documented. We present a case of a 64-year-old man with symptoms consistent with rhabdomyolysis and an evanescent rash secondary to acute hepatitis A. He eventually recovered with conservative management. This case emphasizes the importance of recognizing and treating atypical presentations of acute hepatitis A infection.

Learning points: Recognition of atypical presentations: The case underscores the importance of recognizing and treating atypical presentations of acute hepatitis A infection. Clinicians should be vigilant for unusual manifestations of common infections, facilitating timely diagnosis and appropriate management.Understanding rare complications: Rhabdomyolysis is identified as an exceedingly rare complication of hepatitis A infection, which is scarcely documented in the literature. This case contributes to the growing understanding of extrahepatic manifestations associated with hepatitis A, emphasizing the importance of considering uncommon complications in the differential diagnosis, especially when typical clinical presentations are observed.Management strategies: The article discusses the treatment approach for rhabdomyolysis secondary to acute hepatitis A, which involves aggressive fluid resuscitation to prevent kidney damage from myoglobinuria, correction of electrolyte imbalances, and metabolic abnormalities. Additionally, vaccination against hepatitis A and advocating for sanitation measures are highlighted as important preventive strategies.

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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
166
审稿时长
8 weeks
期刊介绍: The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM), representing 35 national societies from 33 European countries. The Journal''s mission is to promote the best medical practice and innovation in the field of acute and general medicine. It also provides a forum for internal medicine doctors where they can share new approaches with the aim of improving diagnostic and clinical skills in this field. EJCRIM welcomes high-quality case reports describing unusual or complex cases that an internist may encounter in everyday practice. The cases should either demonstrate the appropriateness of a diagnostic/therapeutic approach, describe a new procedure or maneuver, or show unusual manifestations of a disease or unexpected reactions. The Journal only accepts and publishes those case reports whose learning points provide new insight and/or contribute to advancing medical knowledge both in terms of diagnostics and therapeutic approaches. Case reports of medical errors, therefore, are also welcome as long as they provide innovative measures on how to prevent them in the current practice (Instructive Errors). The Journal may also consider brief and reasoned reports on issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to the scientific meetings of acknowledged medical societies.
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