title: Rhabdomyolysis associated with bacteremia due to Streptococcus viridans.
abstract: A 25-year-old man was admitted with complaints of fever and macrohematuria. Laboratory tests showed a substantial increase in serum creatine phosphokinase and creatinine in association with myoglobinuria and proteinuria. Blood culture grew Streptococcus salivarius and Streptococcus oralis. Findings of renal biopsy were compatible with IgA nephropathy. The glomeruli had a mild mesangial proliferation without crescentic lesions. Changes of the interstitium and tubules were not evident. The clinical course and laboratory results strongly suggested a possible link between Streptococcus salivarius/oralis infection, and rhabdomyolysis. Rhabdomyolysis is rarely seen as a complication of bacterial infection, and the present case emphasizes the importance of suspecting bacteremia due to Streptococcus salivarius/oralis in the presence of rhabdomyolysis.
authors.affiliation: Department of Internal Medicine, Tokyo-to Saiseikai Central Hospital.
authors.forename: K
authors.initials: K
authors.lastname: Asao
authors.forename: Y
authors.initials: Y
authors.lastname: Utsunomiya
authors.forename: K
authors.initials: K
authors.lastname: Hirano
authors.forename: T
authors.initials: T
authors.lastname: Shike
authors.forename: T
authors.initials: T
authors.lastname: Imasawa
authors.forename: K
authors.initials: K
authors.lastname: Omura
authors.forename: H
authors.initials: H
authors.lastname: Tomonari
authors.forename: T
authors.initials: T
authors.lastname: Kawamura
authors.forename: S
authors.initials: S
authors.lastname: Kuriyama
authors.forename: O
authors.initials: O
authors.lastname: Sakai
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology* / Q000473:pathology; D000328:Adult; D016470:Bacteremia / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D001706:Biopsy; D006801:Humans; D008297:Male; D012206:Rhabdomyolysis / Q000209:etiology* / Q000473:pathology; D013290:Streptococcal Infections / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D013291:Streptococcus / Q000302:isolation & purification