Rhabdomyolysis due to Lamivudine administration in acute viral hepatitis B infection: a case report from Malaysia

Rhabdomyolysis is a serious but rare side effect of Lamivudine treatment. Therefore, appropriate biochemical monitoring should be undertaken when it is used in the treatment of hepatitis B. This paper presents a case of Lamivudine-associated rhabdomyolysis in a 31-year-old man with congenital heart...

Full description

Bibliographic Details
Main Authors: Baharin, Janudin, Sulaiman Sahari, Narisa, Mohd Sazlly Lim, Sazlyna
Format: Article
Published: Electronic Physician 2014
Online Access:http://psasir.upm.edu.my/id/eprint/35271/
_version_ 1848848008066629632
author Baharin, Janudin
Sulaiman Sahari, Narisa
Mohd Sazlly Lim, Sazlyna
author_facet Baharin, Janudin
Sulaiman Sahari, Narisa
Mohd Sazlly Lim, Sazlyna
author_sort Baharin, Janudin
building UPM Institutional Repository
collection Online Access
description Rhabdomyolysis is a serious but rare side effect of Lamivudine treatment. Therefore, appropriate biochemical monitoring should be undertaken when it is used in the treatment of hepatitis B. This paper presents a case of Lamivudine-associated rhabdomyolysis in a 31-year-old man with congenital heart disease and hepatitis B. Three days after starting Lamivudine, the patient developed myalgia. Significant muscle tenderness and swelling of the upper and lower limbs was discovered during a physical examination. Creatine kinase was markedly raised. Lamivudine-induced rhabdomyolysis was suspected and the drug was discontinued. Symptoms and creatine kinase activity improved within four days of Lamivudine cessation and hydration. Early identification of Lamivudine-induced rhabdomyolysis is key in preventing this potentially fatal drug reaction; withdrawal of Lamivudine may contribute to complete remission of rhabdomyolysis.
first_indexed 2025-11-15T09:27:40Z
format Article
id upm-35271
institution Universiti Putra Malaysia
institution_category Local University
last_indexed 2025-11-15T09:27:40Z
publishDate 2014
publisher Electronic Physician
recordtype eprints
repository_type Digital Repository
spelling upm-352712015-12-31T04:45:29Z http://psasir.upm.edu.my/id/eprint/35271/ Rhabdomyolysis due to Lamivudine administration in acute viral hepatitis B infection: a case report from Malaysia Baharin, Janudin Sulaiman Sahari, Narisa Mohd Sazlly Lim, Sazlyna Rhabdomyolysis is a serious but rare side effect of Lamivudine treatment. Therefore, appropriate biochemical monitoring should be undertaken when it is used in the treatment of hepatitis B. This paper presents a case of Lamivudine-associated rhabdomyolysis in a 31-year-old man with congenital heart disease and hepatitis B. Three days after starting Lamivudine, the patient developed myalgia. Significant muscle tenderness and swelling of the upper and lower limbs was discovered during a physical examination. Creatine kinase was markedly raised. Lamivudine-induced rhabdomyolysis was suspected and the drug was discontinued. Symptoms and creatine kinase activity improved within four days of Lamivudine cessation and hydration. Early identification of Lamivudine-induced rhabdomyolysis is key in preventing this potentially fatal drug reaction; withdrawal of Lamivudine may contribute to complete remission of rhabdomyolysis. Electronic Physician 2014 Article PeerReviewed Baharin, Janudin and Sulaiman Sahari, Narisa and Mohd Sazlly Lim, Sazlyna (2014) Rhabdomyolysis due to Lamivudine administration in acute viral hepatitis B infection: a case report from Malaysia. Electronic Physician, 6 (3). pp. 863-867. ISSN 2008-5842 http://www.ephysician.ir/index.php/browse-issues/year-2014-volume-6/year-2014-volume-6-issue-3/129-rhabdomyolysis-due-to-lamivudine-administration-in-acute-viral-hepatitis-b-infection-a-case-report-from-malaysia 10.14661/2014.863-867
spellingShingle Baharin, Janudin
Sulaiman Sahari, Narisa
Mohd Sazlly Lim, Sazlyna
Rhabdomyolysis due to Lamivudine administration in acute viral hepatitis B infection: a case report from Malaysia
title Rhabdomyolysis due to Lamivudine administration in acute viral hepatitis B infection: a case report from Malaysia
title_full Rhabdomyolysis due to Lamivudine administration in acute viral hepatitis B infection: a case report from Malaysia
title_fullStr Rhabdomyolysis due to Lamivudine administration in acute viral hepatitis B infection: a case report from Malaysia
title_full_unstemmed Rhabdomyolysis due to Lamivudine administration in acute viral hepatitis B infection: a case report from Malaysia
title_short Rhabdomyolysis due to Lamivudine administration in acute viral hepatitis B infection: a case report from Malaysia
title_sort rhabdomyolysis due to lamivudine administration in acute viral hepatitis b infection: a case report from malaysia
url http://psasir.upm.edu.my/id/eprint/35271/
http://psasir.upm.edu.my/id/eprint/35271/
http://psasir.upm.edu.my/id/eprint/35271/