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Yeungnam Univ J Med > Volume 29(1); 2012 > Article
Yeungnam University Journal of Medicine 2012;29(1):28-30.
DOI:    Published online June 30, 2012.
Rhabdomyolysis and Mild Kidney Injury in a Patient with Acute Hepatitis A.
Gu Min Cho, Chang Wook Kim, Hyeonjin Seong, Joon Hur, Bu Seok Jeon, Jonghwan Lee, Eun Hui Sim, Seok Jong Lee, Chang Don Lee
1Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
2Department of Internal Medicine, Uijeongbu St. Mary's Hospital, Uijeongbu, Korea.
A 48-year-old male visited the emergency room of the authors' hospital due to nausea, vomiting, and myalgia for four days. Acute hepatitis A was identified from the serologic marker of the hepatitis A virus. Mild elevation of the serum creatinine and creatinine phosphokinase (CPK) suggested rhabomyolysis, which was confirmed with the serum aldolase, myoglobin, and urine myoglobin. With supportive care, both the liver and renal functions were recovered gradually and fully. This case shows that rhabdomyolysis can be one of the mechanisms of renal complication in cases of acute symptomatic hepatitis A.
Key Words: Hepatitis A, Rhabdomyolysis, Acute kidney injury


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