Rhabdomyolysis associated with Streptococcus pneumoniae bacteremia in a splenectomized patient.

Abstract

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.

• Authors: Kai-Yao Shih, Tzong-Shinn Chu, Chien-Ching Hung, Ming-Shiou Wu
• Journal: Journal of the Formosan Medical Association = Taiwan yi zhi (J Formos Med Assoc) Vol. 101 Issue 6 Pg. 429-31 (Jun 2002) ISSN: 0929-6646 [Print] Singapore
• PMID: 12189650 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Acute Kidney Injury (etiology)
• Adult
• Bacteremia (complications)
• Humans
• Male
• Pneumococcal Infections (complications)
• Rhabdomyolysis (complications)
• Sinusitis (complications)
• Splenectomy (adverse effects)