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Infective Endocarditis Presenting as Rhabdomyolysis and Muscle Abscess: A Case Report.
Naseem Ambra1, Azeez Palol1, Muhammed J Moidy1
1Internal Medicine, Hamad Medical Corporation, Doha, QAT.
Cureus
|January 1, 2024
Summary
Infective endocarditis rarely causes rhabdomyolysis (muscle breakdown). This case highlights Streptococcus dysgalactiae as a cause, emphasizing extracardiac signs of endocarditis.
Area of Science:
- Cardiology
- Infectious Diseases
- Nephrology
Background:
- Rhabdomyolysis, a skeletal muscle degradation, has diverse causes.
- Infective endocarditis (IE) is an infection of the heart's inner lining.
- IE-induced rhabdomyolysis is exceptionally rare.
Observation:
- A patient presented with rhabdomyolysis, a muscular abscess, and acute renal failure.
- Infective endocarditis was identified as the underlying cause.
- The causative agent was identified as *Streptococcus dysgalactiae*.
Findings:
- Successful management of IE-related rhabdomyolysis and acute kidney injury was achieved.
- Treatment involved hydration and targeted antibiotic therapy.
- The case highlights *Streptococcus dysgalactiae* as an atypical IE pathogen.
Implications:
- Clinicians should consider IE in unexplained rhabdomyolysis, even with atypical presentations.
- Recognizing extracardiac manifestations of IE is crucial for timely diagnosis.
- This case broadens the understanding of IE's diverse clinical spectrum.
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