Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Rhabdomyolysis with Community Acquired Pneumonia

지역 사회 획득성 폐렴에 동반된 횡문근 융해증 1예

  • Kang, Young Ae (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, and Lung Institute Seoul National University College of Medicine) ;
  • Yim, Jae-Joon (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, and Lung Institute Seoul National University College of Medicine) ;
  • Kim, Young Whan (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, and Lung Institute Seoul National University College of Medicine) ;
  • Han, Sung Koo (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, and Lung Institute Seoul National University College of Medicine) ;
  • Shim, Young-Soo (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, and Lung Institute Seoul National University College of Medicine) ;
  • Yoo, Chul Gyu (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, and Lung Institute Seoul National University College of Medicine)
  • 강영애 (서울대학교 의과대학 내과학 교실 및 의학연구원 폐 연구소) ;
  • 임재준 (서울대학교 의과대학 내과학 교실 및 의학연구원 폐 연구소) ;
  • 김영환 (서울대학교 의과대학 내과학 교실 및 의학연구원 폐 연구소) ;
  • 한성구 (서울대학교 의과대학 내과학 교실 및 의학연구원 폐 연구소) ;
  • 심영수 (서울대학교 의과대학 내과학 교실 및 의학연구원 폐 연구소) ;
  • 유철규 (서울대학교 의과대학 내과학 교실 및 의학연구원 폐 연구소)
  • Received : 2004.07.28
  • Accepted : 2004.12.17
  • Published : 2005.01.30
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Abstract

A-67-year-old man was hospitalized due to fever, cough and dyspnea upon exertion, and was treated with intravenous antibiotics. During the hospital course he presented with weakness in his low extremities. The laboratory tests showed an elevated CK level and myoglobinuria. He was diagnosed with rhabdomyolysis with community-acquired pneumonia and treated accordingly. Subsequently, his symptoms and signs of rhabdomyolysis improved.

67세 남자가 발열과 기침, 호흡곤란을 주소로 내원하였고 지역 사회 획득성 폐렴 의심 하에 항생제 치료를 시작하였다. 입원 경과 중 하지 근위약감과 혈청 CK 상승, 마이오글로빈뇨를 보여 지역 사회 획득성 폐렴에 동반된 횡문근 융해증 의심 하에 항생제 치료와 횡문근 융해증에 대한 보존적 치료를 유지하였다. 이후 폐렴의 호전과 함께 횡문근 융해증도 호전되어 퇴원하였다.

Keywords

References

  1. Fine MJ, Auble TE, Yealy DM, Hanusa BH, Weissfeld LA, Singer DE et al. A prediction rule to identify low-risk patients with community acquired pneumonia. N Engl J Med 1997;336:243-50 https://doi.org/10.1056/NEJM199701233360402
  2. Bartlett JG, Dowell SF, Mandell LA, File TM Jr, Musher DM, Fine MJ. Practice guidelines for the management of community acquired pneumonia in adults. Clin Infect Dis 2000;31:347-82 https://doi.org/10.1086/313954
  3. Byrd RP Jr, Roy TM. Rhabdomyolysis and bacterial pneumonia. Respir Med 1998;92:359-62
  4. Gabow PA, Kaehny WD, Kelleher SP. The spectrum of rhabdomyolysis. Medicine 1982;61:141-52 https://doi.org/10.1097/00005792-198205000-00002
  5. Kokko JP. Chapter 109. Rhabdomyolysis. In: Goldꠀ man L, Ausiello D, editors. Cecil text book of medicine. 22nd ed. Philadelphia: WB Saunders; 2004. p.649-51.
  6. Allison RC, Bedsole DL. The other medical causes of rhabdomyolysis. Am J Med Sci 2003;326:79-88 https://doi.org/10.1097/00000441-200308000-00005
  7. Blanco JR, Zabalza M, Salcedo J, Echeverria L, Garcia A, Vallejo M. Rhabdomyolysis of infectious and noninfectious causes. South Med J 2002;95:542-4 https://doi.org/10.1097/00007611-200295050-00017
  8. Blanco JR, Zabalza M, Salcedo J, San Roman J. Rhabdomyolysis as a result of Streptococcus pneumoniae: report of a case and review. Clin Microbiol Infect 2003;9:944-8 https://doi.org/10.1046/j.1469-0691.2003.00673.x
  9. Shah A, Check F, Baskin S, Reyman T, Menard R. Legionnaires' disease and acute renal failure: case report and review. Clin Infect Dis 1992;14:204-7 https://doi.org/10.1093/clinids/14.1.204
  10. Morton SE, Mathai M, Byrd RP Jr, Fields CL, Roy TM. Influenza A pneumonia with rhabdomyolysis. South Med J 2001;94:67-9 https://doi.org/10.1097/00007611-200194010-00013
  11. Singh U, Scheld WM. Infectious etiologies of rhabdomyolysis: three case reports and review. Clin Infect Dis 1996;22:642-9 https://doi.org/10.1093/clinids/22.4.642
  12. Kalish SB, Tallman MS, Cook FV, Blumen EA. Polymicrobial septicemia associated with rhabdomyolysis, myoglobulinuria, and acute renal failure. Arch Intern Med 1982;142:133-4 https://doi.org/10.1001/archinte.142.1.133
  13. Spataro V, Marone C. Rhabdomyolysis associated with bacteremia due to Streptococcus pneumoniae: case report and review. Clin Infect Dis 1993;17:1063-4 https://doi.org/10.1093/clinids/17.6.1063
  14. Marino PL, Nahass GT, Novick W. Bacteremic pneumococcal pneumonia and myoglobinuric renal failure. Am J Med 1986;80:521-2 https://doi.org/10.1016/0002-9343(86)90733-3
  15. Hroncich ME, Rudinger AN. Rhabdomyolysis with pneumococcal pneumonia: a report of two cases. Am J Med 1989;86:467-8 https://doi.org/10.1016/0002-9343(89)90347-1