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Community-Acquired Pneumonia with Acute Kidney Injury Complicated by Rhabdomyolysis- A Challenging Case Report in
Ibrahim Abdullahi Mohamed1, Abdullahi Abdirahman Omar1, Mohamed Abdulahi Hassan1
1Department of Internal Medicine and Intensive Care Unit, Dr. Sumait Hospitals, Faculty Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.
Background:
Community-acquired pneumonia (CAP) is a common infectious disease that can lead to complications such as rhabdomyolysis (RM), a rare but potentially life-threatening condition involving muscle breakdown. RM can further complicate the clinical course by causing acute kidney injury (AKI). We present a case of Community-acquired pneumonia with AKI complicated by rhabdomyolysis in a resource-limited setting.
Case Presentation:
A 67-year-old male presented with high fever, cough, and shortness of breath. He had no significant medical history. On examination, he was febrile, tachypneic, and tachycardic, with right-sided lung crackles. Lab tests showed elevated inflammatory markers and impaired kidney function. Chest radiography revealed right upper lobe consolidation, confirming pneumonia and AKI. He was treated with fluids, antibiotics, and supportive care, but his condition worsened, requiring intensive care unit (ICU). In the ICU, dark urine and elevated creatine kinase confirmed rhabdomyolysis. After aggressive fluid therapy and antibiotics the patient improved over six days and was transferred to the ward. By day 10, he fully recovered and was discharged with follow-up.
Conclusion:
This case underscores the importance of early recognition and prompt management of CAP complicated by AKI and rhabdomyolysis, even in resource-limited settings. Timely intervention can lead to favorable outcomes despite challenges.
Insights
Community-acquired pneumonia (CAP) can lead to rhabdomyolysis (RM) and acute kidney injury (AKI). Prompt recognition and management of these complications in resource-limited settings are crucial for favorable patient outcomes.
Area of Science:
- Internal Medicine
- Infectious Diseases
- Nephrology
Background:
- Community-acquired pneumonia (CAP) is a prevalent infectious disease.
- Complications include rhabdomyolysis (RM), a severe muscle breakdown condition.
- RM can precipitate acute kidney injury (AKI).
Observation:
- A 67-year-old male presented with symptoms of CAP, including fever, cough, and dyspnea.
- Initial assessment revealed pneumonia and AKI; however, his condition deteriorated, necessitating ICU admission.
- In the ICU, elevated creatine kinase and dark urine confirmed the development of RM.
Findings:
- The patient received intensive care, including aggressive fluid therapy and antibiotics.
- Clinical improvement was observed within six days, with transfer to the ward.
- Full recovery and discharge were achieved by day 10.
Implications:
- This case highlights the critical need for early diagnosis and management of CAP with associated RM and AKI.
- Effective interventions are possible even in resource-limited environments.
- Prompt treatment can lead to positive patient outcomes despite complex clinical scenarios.
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