Abstract
We report an elderly patient with acute kidney injury due to rhabdomyolysis from type A influenza virus. A 75-year-old man, with a long history in a mental hospital for schizophrenia, was diagnosed with influenza virus infection causing a fever. He was transferred to our emergency unit because rhabdomyolysis and acute kidney injury were indicated by his laboratory data the next day. We treated him in the intensive care unit. Although we administered massive amounts of intravenous fluid and used diuretics, he progressed to kidney failure, and received hemodialysis on the 2nd day. Then, he received 18 sessions of hemodialysis over a 34-day periods and was transferred to the previous hospital on the 52nd day. There are reports of acute kidney injury due to rhabdomyolysis from conventional influenza virus infection. On the other hand, there are few reports of cases due to A/H1N1 pdm (novel H1N1 influenza virus). Although there are reports of multiple organ failure including acute respiratory distress syndrome, it is noteworthy that this virus can cause only acute kidney injury as in the present case.
