Rhabdomyolysis associated with Streptococcus pneumoniae bacteremia in a splenectomized patient.
Invasive infection due to Streptococcus pneumoniae associated with rhabdomyolysis is rare. We report the case of a 31-year-old splenectomized man with pneumococcal bacteremia and paranasal sinusitis who presented with flu-like symptoms preceding a fulminant course of sepsis and rhabdomyolysis with acute renal failure and elevated creatinine phosphokinase. Although the possible mechanisms of rhabodomyolysis associated with pneumococcal infection remain unclear, this report may serve to alert clinicians of the need to prevent fulminant pneumococcal infection by vaccination and treatment with antibiotic prophylaxis in splenectomized patients.
Department of Internal Medicine, En Chu Kong Hospital, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Kai-Yao
KY
Shih
Tzong-Shinn
TS
Chu
Chien-Ching
CC
Hung
Ming-Shiou
MS
Wu
D058186:Acute Kidney Injury / Q000209:etiology; D000328:Adult; D016470:Bacteremia / Q000150:complications*; D006801:Humans; D008297:Male; D011008:Pneumococcal Infections / Q000150:complications*; D012206:Rhabdomyolysis / Q000150:complications*; D012852:Sinusitis / Q000150:complications; D013156:Splenectomy / Q000009:adverse effects