Fatal Rhabdomyolysis Caused by Morganella morganii in a Patient with Multiple Myeloma.
A 64-year-old Japanese man with multiple myeloma was admitted to our institute due to fever and hypotension. He had received multiple courses of chemotherapy just before his febrile episode. Blood culturing detected Morganella morganii. At the time of the diagnosis, his laboratory findings revealed massive rhabdomyolysis with a significantly increased creatinine kinase level (CK; 3,582 U/L); 98.8% of which corresponded to the CK-MB isotype. We diagnosed the patient with sepsis caused by M. morganii, complicated with severe rhabdomyolysis. He died of multi-organ failure 2 days later. Clinicians should closely observe patients with possible systemic infection-associated rhabdomyolysis.
Division of Hematology and Stem Cell Transplantation, Department of Internal Medicine, Faculty of Medicine, Kagawa University, Japan.
Osamu
O
Imataki
Makiko
M
Uemura
D004756:Enterobacteriaceae Infections / Q000382:microbiology*; D017809:Fatal Outcome; D005334:Fever / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D020613:Morganella morganii; D009101:Multiple Myeloma / Q000150:complications*; D012206:Rhabdomyolysis / Q000209:etiology*; D018805:Sepsis / Q000150:complications