Rabdomiólisis grave por virus Coxsackie B complicada con síndrome compartimental

Rhabdomyolysis as a complication of an acute compartimental syndrome is somewhat common, but on the contrary, is rare. We present the case of a 74 year man with acute infection by Coxsackie B virus who developed a rhabdomyolysis with a maximum CPK of 161, 757 IU/l. It became complicated with acute renal failure and compartment syndrome of the right leg. Renal function normalized in a few weeks, however, due to the compartment syndrome, he developed an equinus foot in spite of the performance of fasciotomies and required an orthesis to walk. Compartment syndrome is a complication to be considered in serious rhabdomyolysis because it may go unnoticed easily and can be associated to sequels.