Recurrent reversible rhabdomyolysis associated with hyperthermia and status epilepticus

Acta Paediatr. 1995 Sep;84(9):1083-5. doi: 10.1111/j.1651-2227.1995.tb13832.x.

Abstract

A 6-year-old boy developed rhabdomyolysis following hyperthermia and status epilepticus with a diagnosis of severe myoclonic epilepsy of infancy. At 2 and 3 years of age, he had similar episodes. Each time he recovered completely in 3-4 weeks with conservative management, in spite of renal insufficiency and marked liver dysfunction. Several cases of recurrent myoglobinuria after intense exercise of generalized tonic-clonic convulsions were reported to have genetic errors of carbohydrate or lipid metabolism of muscle. In our patient, however, the activity of these enzymes was found to be normal. This indicates that status epilepticus may cause recurrent rhabdomyolysis in subjects with normal glycolytic and lipolytic enzyme activity.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / etiology
  • Acute Kidney Injury / metabolism
  • Child
  • Fever / complications
  • Humans
  • Liver Function Tests
  • Male
  • Muscle, Skeletal / enzymology
  • Recurrence
  • Rhabdomyolysis / enzymology
  • Rhabdomyolysis / etiology*
  • Status Epilepticus / complications*
  • Status Epilepticus / enzymology