Influenza-induced rhabdomyolysis after autologous peripheral blood stem cell transplantation for malignant lymphoma

Intern Med. 2003 Nov;42(11):1127-30. doi: 10.2169/internalmedicine.42.1127.

Abstract

We report influenza-induced rhabodmyolysis and congestive heart failure after high-dose therapy and hematopoietic stem cell transplantation for malignant lymphoma. Four months after autologous peripheral blood stem cell transplantation for the treatment of malignant lymphoma, a 65-year-old Japanese man developed acute congestive heart failure requiring artificial ventilation and rahbdomyolysis. Since influenza A virus was documented from his nasal cavity, he was diagnosed as rhabdomyolysis and congestive heart failure induced by influenza A infection. Neuraminidase inhibitor (oseltamivir 150 mg/ day for 5 days) was administrated, and heart failure and respiratory status were improved. Our experience suggests that early treatment with neuraminidase inhibitor may improve the clinical outcome of influenza-induced rhabdomyolysis and congestive heart failure.

Publication types

  • Case Reports

MeSH terms

  • Acetamides / therapeutic use
  • Aged
  • Antiviral Agents / therapeutic use
  • Heart Failure / virology*
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Influenza A virus*
  • Lymphoma, T-Cell / surgery*
  • Male
  • Orthomyxoviridae Infections / drug therapy
  • Oseltamivir
  • Peripheral Blood Stem Cell Transplantation*
  • Rhabdomyolysis / virology*
  • Transplantation, Autologous

Substances

  • Acetamides
  • Antiviral Agents
  • Oseltamivir