Rhabdomyolysis during therapy with daptomycin

Stella Papadopoulos1, Amanda M Ball, Susanne E Liewer

  • 1Department of Pharmacy, University of Kentucky Chandler Medical Center, Lexington, Kentucky 40536, USA. spapa2@email.uky.edu

Insights

Daptomycin use can elevate creatine phosphokinase levels. This report details the first known case of rhabdomyolysis in a patient treated with daptomycin, a severe muscle condition.

Area of Science:

  • Pharmacology
  • Toxicology
  • Infectious Diseases

Background:

  • Daptomycin is an antibiotic used for serious Gram-positive bacterial infections.
  • Elevated creatine phosphokinase (CPK) and myopathy are known risks associated with daptomycin therapy.
  • Previous literature has not documented rhabdomyolysis in relation to daptomycin use.

Observation:

  • A patient undergoing daptomycin treatment developed severe muscle symptoms.
  • Clinical and laboratory findings were consistent with rhabdomyolysis.

Findings:

  • This case represents the first documented instance of rhabdomyolysis in a patient receiving daptomycin.
  • The patient's condition highlights a potential severe adverse effect of this antibiotic.

Implications:

  • Clinicians should be vigilant for signs of rhabdomyolysis in patients treated with daptomycin.
  • Further investigation into the mechanism of daptomycin-induced muscle injury is warranted.
  • This finding may influence clinical guidelines for daptomycin use and patient monitoring.

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