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[Acute rhabdomyolysis during pneumococcal pneumonia: two cases]

H Aouina1, I Aïssa, M A Baccar

  • 1Service de Pneumologie, Hôpital Charles-Nicolle, boulevard du 9-Avril, 1006 Tunis, Tunisie. hichem.aouina@rns.tn

Revue De Pneumologie Clinique
|July 4, 2007
PubMed

Insights

Severe Streptococcus pneumoniae pneumonia can cause acute rhabdomyolysis, a serious condition. Early detection of pneumococcal bacteremia is crucial for prompt treatment and preventing kidney failure.

Area of Science:

  • Infectious Diseases
  • Nephrology
  • Critical Care Medicine

Background:

  • Acute rhabdomyolysis is typically caused by toxins or trauma, with infectious etiologies being rare.
  • Streptococcus pneumoniae is an uncommon cause of infectious rhabdomyolysis.

Observation:

  • Two cases of severe Streptococcus pneumoniae pneumonia presenting with acute rhabdomyolysis are described.
  • Patients, aged 32 and 37, had no other identifiable cause for rhabdomyolysis.
  • Clinical manifestations included acute kidney failure, elevated transaminases, and soft tissue edema.

Findings:

  • Pneumococcal bacteremia was confirmed in both patients via blood cultures.
  • Rhabdomyolysis resolved favorably in both cases, with transient renal impairment in one.
  • The study highlights the potential for pneumococcal pneumonia to trigger rhabdomyolysis.

Implications:

  • Rhabdomyolysis associated with pneumococcal pneumonia carries a poor prognosis, increasing morbidity and mortality.
  • Early identification of bacteremia is vital for timely intervention.
  • Prompt treatment can prevent complications such as renal failure.

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