[Legionnaire's disease complicated by acute renal failure due to rhabdomyolosis: a case report].
The infectious origin of non-traumatic rhabdomyolysis is rare (5% of cases). An elevated muscle enzyme level is often reported in the legionnaire's disease. We report the case of a 39-year-old male, with no previous medical history, admitted for renal failure (creatininemia=977 micromol/l) secondary to rhabdomyolysis and a twelve-day history of infectious syndrome with pneumonia in the left base. Legionella pneumophila was considered responsible for these symptoms because of a positive serology. The other microbial assessments were negative. After rehydration and three weeks of antibiotics, the outcome was favorable: the renal failure resolved completely and the muscle enzyme level returned to normal.
Labidi
J
J
Service de Médecine Interne, Hôpital Militaire de Tunis, Mont Fleury, 1008 Tunis, Tunisie.
Fdhila
W
W
Battikh
R
R
Ellouze
S
S
Ben Abdelhafidh
N
N
Louzir
B
B
M'sadek
F
F
Othmani
S
S
D058186:Acute Kidney Injury / Q000209:etiology* / Q000628:therapy; D000328:Adult; D003404:Creatinine / Q000097:blood; D005440:Fluid Therapy; D006801:Humans; D007877:Legionnaires' Disease / Q000150:complications*; D008297:Male; D012206:Rhabdomyolysis / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome
D003404:Creatinine