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Fulminant Immune-Mediated Necrotising Myopathy with Multi-Organ Failure in a Previously Healthy Adult: A Case Report

Ramanan Sampavi, Namal Chathuranga Herath, Tharindu Sisilarathna, Chaminda Gunathilaka, Hemal Senanayake

Journal of Tropical Health · 2026

Vollständiger Abstract

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Immune-mediated necrotizing myopathy (IMNM) is a severe inflammatory myopathy characterized by rapidly progressive weakness, markedly elevated creatine phosphokinase (CPK) levels, and myofiber necrosis with minimal inflammatory infiltrates. Early diagnosis is essential due to the risk of respiratory compromise, systemic involvement, and multi-organ dysfunction.This case highlights the fulminant behaviour of idiopathic IMNM, the diagnostic complexity in seronegative patients, and the importance of considering IMNM in adults presenting with acute flaccid paralysis, severe CPK elevation of 4,238,500 U/L, and preserved reflexes. Early recognition and rapid immunosuppression are essential to prevent catastrophic complications.

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Autor:innen
Ramanan Sampavi, Namal Chathuranga Herath, Tharindu Sisilarathna, Chaminda Gunathilaka, Hemal Senanayake
Quelle
Journal of Tropical Health
Publikation
2026-01-01
Band / Ausgabe
Nicht angegeben
Seiten
Nicht angegeben
ISSN / ISBN
3084-9314, 3084-8709
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Zitierfähiger Nachweis

Ramanan Sampavi, Namal Chathuranga Herath, Tharindu Sisilarathna, Chaminda Gunathilaka, Hemal Senanayake (2026). Fulminant Immune-Mediated Necrotising Myopathy with Multi-Organ Failure in a Previously Healthy Adult: A Case Report. Journal of Tropical Health. https://doi.org/10.4038/joth.v2i2.49
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