GEORGE S. HUGHES JR., M.D.; RICHARD HUNT, M.D.
To the editor: Many viruses have been associated with myalgia, but myalgia, myositis, and myoglobinuria have only been observed with a few viral species: influenza A(1), Coxsackie A9 and B5 (2), herpes virus hominis (3), Epstein-Barr virus (4), adenovirus 21, parainfluenza, and Echo 9 (5). Cytomegalovirus has not been reported as a cause. We report a case of rhabdomyolysis, myositis, and myoglobinuria associated with cytomegalovirus.
A 21-year-old black unmarried heterosexual man noted, 5 days before admission, the onset of diffuse myalgia accompanied by chills and fever but without diaphoresis, cough, nausea, vomiting, diarrhea, photophobia, joint stiffness, arthralgias, or skin rashes.
HUGHES GS, HUNT R. Cytomegalovirus Infection with Rhabdomyolysis and Myoglobinuria. Ann Intern Med. 1984;101:276–277. doi: 10.7326/0003-4819-101-2-276_2
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Published: Ann Intern Med. 1984;101(2):276-277.
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