title: Life-threatening rhabdomyolysis induced by Streptococcus bovis sepsis in a 6-year-old girl presented to the pediatric emergency department.
abstract: Streptococcus bovis infection is an uncommon disease during infancy and childhood. Rhabdomyolysis is frequently a complication of a viral infection in children and typically has a benign course. It has rarely been reported as a complication in cases of bacterial infection, especially those caused by S. bovis. We describe a case of life-threatening rhabdomyolysis after a bacterial infection caused by S. bovis sepsis in a previously healthy 6-year-old girl who presented to our pediatric emergency department. She had an unusually high serum creatine kinase value (peak value, 436,449 IU/L), and she was successfully treated with adequate antibiotic treatment and effective renal replacement therapy. This case illustrates that, although uncommon, S. bovis can cause serious infections during childhood. Pediatric emergency physicians should be aware that uncommon organisms may be able to cause severe infections in susceptible children associated with life-threatening rhabdomyolysis.
authors.affiliation: Department of Pediatrics, Chung Shan Medical University Hospital, Taichung, Taiwan.
authors.forename: Hui-Hsien
authors.initials: HH
authors.lastname: Pan
authors.forename: Hung-Ming
authors.initials: HM
authors.lastname: Chang
authors.forename: Shan-Ming
authors.initials: SM
authors.lastname: Chen
authors.forename: Tung-Wei
authors.initials: TW
authors.lastname: Hung
authors.forename: Ko-Huang
authors.initials: KH
authors.lastname: Lue
authors.forename: Ji-Nan
authors.initials: JN
authors.lastname: Sheu
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017582:Renal Replacement Therapy; D012206:Rhabdomyolysis / Q000209:etiology* / Q000628:therapy; D018805:Sepsis / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D013290:Streptococcal Infections / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D016985:Streptococcus bovis / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents