An elevated creatine kinase in the context of influenza A infection and sickle cell trait

H Bamber; B Rudge; A Vercueil

doi:10.1002/anr3.12017

An elevated creatine kinase in the context of influenza A infection and sickle cell trait

Anaesth Rep. 2019 Jun 26;7(1):57-59. doi: 10.1002/anr3.12017. eCollection 2019 Jan-Jun.

Authors

H Bamber¹, B Rudge¹, A Vercueil¹

Affiliation

¹ Anaesthesia and Critical Care King's College Hospital London UK.

Abstract

We describe the case of a 37-year-old normally fit and well man who presented to hospital with fever, lethargy and myalgia. He was found to have a creatine kinase level of over 1 million IU.l^-1. He initially underwent fluid resuscitation, but despite this his renal function declined and he required continuous veno-venous haemodiafiltration. Subsequent testing revealed a positive viral swab for influenza A and that he was a carrier of sickle cell trait. We review the literature for previous reports describing this association and demonstrate the rarity of such a presentation.

Keywords: acute kidney injury; acute tubular necrosis: diagnosis; influenza; rhabdomyolysis; sickle cell trait.

Publication types

Case Reports