Adolescent COVID-19-Associated Fatal Rhabdomyolysis

J Prim Care Community Health. 2020 Jan-Dec:11:2150132720985641. doi: 10.1177/2150132720985641.

Abstract

Coronavirus disease 2019 (COVID-19) has become an urgent global health priority. Although most patients with COVID-19 manifest with fever and respiratory tract symptoms, COVID-19 infections may also involve other organs and extrarespiratory manifestations, including cardiac, gastrointestinal, hepatic, renal, and neurological symptoms. This case describes a 16-year-old boy who presented with fever, sore throat, myalgia, and subsequently with shortness of breath. A diagnosis of COVID-19 was confirmed by polymerase chain reaction. His condition deteriorated and he died within 3 days of admission. An evaluation of his past medical history confirmed an episode of viral illness which had progressed to myositis and rhabdomyolysis 1 year prior. Clinicians should be aware of this complication and maintain a high index of suspicion in cases of COVID-19 presenting with extrapulmonary symptoms.

Keywords: COVID-19; corona virus; extrapulmonary manifestations; myositis; rhabdomyolysis.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • COVID-19 / complications*
  • Humans
  • Male
  • Rhabdomyolysis / complications*
  • SARS-CoV-2