Gosselt Alex, Olijhoek Jobien, Wierema Thomas
Department of Internal Medicine, Tweesteden Ziekenhuis, Tilburg, The Netherlands.
BMJ Case Rep. 2017 Jul 26;2017:bcr-2016-217752. doi: 10.1136/bcr-2016-217752.
Rhabdomyolysis is a very rare and serious extrapulmonary manifestation of a infection. We describe a case of a 47-year-old male patient who presented with progressive dyspnoea, hypoxaemia and cough during the last 3 days. He had no relevant muscular complaints but was diagnosed with severe rhabdomyolysis for which he was treated with hyperhydration. Molecular diagnostics confirmed as the causative agent and our patient was successfully treated with doxycycline.Only a few cases of rhabdomyolysis complicating a infection have been described, mostly in infants. In this case, typical suggestive complaints of rhabdomyolysis were absent suggesting that the complication might be underdiagnosed.
横纹肌溶解症是一种非常罕见且严重的感染肺外表现。我们描述了一例47岁男性患者,在过去3天里出现进行性呼吸困难、低氧血症和咳嗽。他没有相关肌肉症状,但被诊断为严重横纹肌溶解症,接受了补液治疗。分子诊断确诊了病原体,患者接受强力霉素治疗后成功康复。仅有少数横纹肌溶解症并发感染的病例被报道,主要发生在婴儿中。在本病例中,横纹肌溶解症的典型提示性症状并不存在,这表明该并发症可能未得到充分诊断。