title: Tsutsugamushi infection-associated acute rhabdomyolysis and acute renal failure.
abstract: Rhabdomyolysis is a rare complication that emerges in a variety of infectious diseases, such as tsutsugamushi infection. In this study, we report a 71-year-old female patient with tsutsugamushi infection who exhibiting rhabdomyolysis and acute renal failure. On admission, an eschar, which is characteristic of tsutsugamushi infection, was found on her right flank area. Moreover, her tsutsugamushi antibody titer was 1:40960. The elevated values of serum creatinine phosphokinase (CPK), aldolase, creatinine and dark brown urine secondary to myoglobinuria are consistent with indications of rhabdomyolysis and acute renal failure due to tsutsugamushi infection. Her health improved without any residual effects after treatment with doxycyclin and hydration with normal saline.
authors.affiliation: Department of Internal Medicine, College of Medicine, Chosun University Kwangju, Korea.
authors.forename: Park Chi
authors.initials: PC
authors.lastname: Young
authors.forename: Chung Choon
authors.initials: CC
authors.lastname: Hae
authors.forename: Kim Hyun
authors.initials: KH
authors.lastname: Lee
authors.forename: Chung Jong
authors.initials: CJ
authors.lastname: Hoon
mesh_terms: D000208:Acute Disease; D000368:Aged; D003402:Creatine Kinase / Q000097:blood; D004318:Doxycycline / Q000627:therapeutic use; D005260:Female; D006801:Humans; D051437:Renal Insufficiency / Q000209:etiology*; D012206:Rhabdomyolysis / Q000209:etiology*; D012612:Scrub Typhus / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D003402:Creatine Kinase; D004318:Doxycycline