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10 year old male came with h/o weakness in both lower limbs since 1 day.there was h/o fever 3-4 days back treated with crocin and relived. on examination, vitals were normal, cns examination, power in all limbs,normal tone- normal no wasting/hypertrophy DTR,NORMALsuperficial reflexes normal no muscle tenderness &,with waddling gait he was investigated,CPK was raised 1800& LDH was 600 he started improving within 2 days symtomatically there was h/o similar complaints 2 years back with CPK 6000 at that time&improved spontan. we labelled it as VIRAL MYOSITIS. can it recur? what could be other daignosis& how should we proceed?
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Sicne it is recurrent myositis, apart from viral infections, one should rule out metabolic disorders such as GSD, lactic acidosis, electrolyte disturbances, hypothyroidism and fatty acid oxidation defects.
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