Thanks for your concerns. Indeed, it is quite rare for infectious mononucleosis
, caused by the virus Epstein-Barr, to cause rhabdomyolysis
(elevation from CK derived from skeletal muscle); I agree that other differential diagnoses, including one of the many inflammatory myopathies, should be entertained. A rheumatologist
may be better versed
to triage such encounter.
Dr Brenes Salazar MD
Mayo Clinic MN