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KMID : 0370920120290010028
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Yeungnam Univercity Journal of Medicine
2012 Volume.29 No. 1 p.28 ~ p.30
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Rhabdomyolysis and Mild Kidney Injury in a Patient with Acute Hepatitis A
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Cho Gu-Min
Kim Chang-Wook
Seong Hyeon-Jin
Hur Joon
Jeon Bu-Seok
Lee Jong-Hwan
Sim Eun-Hui
Lee Seok-Jong
Lee Chang-Don
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Abstract
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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 func- tions 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.
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KEYWORD
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Hepatitis A, Rhabdomyolysis, Acute kidney injury
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