Respiratory Syncytial Virus-associated Rhabdomyolysis and Sensorineural Hearing Loss in a Healthy Adult: A Case Report
Tongluk Teerasarntipan *
Unit of Internal Medicine, Vichaiyut Hospital and Medical Center, Bangkok, Thailand.
Pannawadee Uppathamnarakorn
Unit of Internal Medicine, Vichaiyut Hospital and Medical Center, Bangkok, Thailand.
*Author to whom correspondence should be addressed.
Abstract
Aims: This article aimed to demonstrate rare extra-pulmonary complications resulted from the respiratory syncytial virus infection (RSV) in healthy adult. We also performed a literature review about the treatment experience from these complications.
Presentation of Case: We examined a 33-year-old healthy Thai man, who initially had RSV pharyngitis that was later developed into rhabdomyolysis and sensorineural hearing loss. The complications recovered without permanent organ damage after treatment with intravenous fluid and prednisolone.
Discussion: Rhabdomyolysis and sensorineural hearing loss are considerably rare complications from RSV infection. According to the literature review and experience from our case, patients with extra-pulmonary complications have relatively good prognosis. Most patients were treated by intravenous fluid and corticosteroid in some case.
Conclusion: Although RSV-associated rhabdomyolysis and sensorineural hearing loss are rare, supportive treatment without RSV-specific antiviral drug is sufficient to treat these complications.
Keywords: Respiratory syncytial virus, rhabdomyolysis, myositis, sensorineural hearing loss, labyrinthitis