Fullerton Duncan G, Lwin Aye A, Lal Simon
Department of aRespiratory Medicine, Royal Bolton Hospital, Bolton, UK.
Eur J Gastroenterol Hepatol. 2007 May;19(5):433-5. doi: 10.1097/MEG.0b013e3280ad4414.
This case highlights that an acute myositis leading to rhabdomyolysis may occur as a rare complication of hepatic abscess and shows the benefit of early recognition of this possible association. A 70-year-old man presented with fever and lower limb myalgia, with laboratory evidence of acute renal failure secondary to rhabdomyolysis. Blood cultures revealed Pantoea agglomerans, which led to identification of a hepatic abscess on computed tomography scan. Supportive care together with antibiotics led to normalization of renal function and resolution of the abscess. This appears to be the first report of a patient with a liver abscess presenting with myositis and rhabdomyolysis. Early recognition of this possible association is vital to limit morbidity and mortality.
该病例突出表明，急性肌炎导致横纹肌溶解可能作为肝脓肿的一种罕见并发症出现，并显示了早期识别这种可能关联的益处。一名70岁男性出现发热和下肢肌痛，实验室检查有横纹肌溶解继发急性肾衰竭的证据。血培养发现成团泛菌，这使得在计算机断层扫描中发现了肝脓肿。支持性治疗联合抗生素使肾功能恢复正常，脓肿消退。这似乎是首例肝脓肿患者出现肌炎和横纹肌溶解的报告。早期识别这种可能的关联对于降低发病率和死亡率至关重要。
