Table 1.
Clinical finding | Episode 1 | Episode 2 | Episode 3 |
---|---|---|---|
Peak CK (IU/L) | Unknown | 170 × 103 | 1 × 106 |
Trigger | Respiratory infection | Viral gastroenteritis | Unknown |
Length of admission (days) | 7 days | 20 days | 7 days |
Acute kidney injury | No | Yes | No |
Electrolyte imbalance | Unknown | Hyperkalemia, Hyperphosphatemia |
No |
Renal replacement therapy | No | Yes | No |
Hypertension | No | Yes (resolved) | No |
Arrhythmia | No | No | No |
Other complications | Prolonged fatigue Muscle weakness | Compartment syndrome Prolonged fatigue Muscle weakness |
None |
Management | IV fluids only | IV fluids Dietary fat restriction l-Carnitine |
IV fluids Dietary fat restriction l-Carnitine IV Dexamethasone |