Dogra Megha, Thakur Manish, Kumar Amrat, Thakur Garima
Internal Medicine, Mary Imogene Bassett Hospital, Cooperstown, USA.
Internal Medicine, Cayuga Medical Center, Ithaca, USA.
Cureus. 2023 Feb 10;15(2):e34835. doi: 10.7759/cureus.34835. eCollection 2023 Feb.
Anaplasmosis is a tick-borne illness commonly seen in the northeastern states of the United States. The most common presenting signs are fever, malaise, and body aches accompanied by leukopenia, thrombocytopenia, and transaminitis. Rhabdomyolysis and acute kidney injury are rare presentations that can lead to significant morbidity. We present the case of a patient who presented with non-specific symptoms of malaise, fatigue, and body aches and was found to have rhabdomyolysis and acute kidney injury on laboratory workup. A presumptive diagnosis of anaplasmosis was made, and the patient was started on treatment for the same. The patient recovered successfully. Our case highlights the rare presentation of anaplasmosis with rhabdomyolysis and acute kidney injury. Physician awareness is needed for early diagnosis and preventing morbidity.
无形体病是一种常见于美国东北部各州的蜱传疾病。最常见的症状是发热、不适和全身疼痛，伴有白细胞减少、血小板减少和转氨酶升高。横纹肌溶解症和急性肾损伤是罕见的表现，可导致严重的发病率。我们报告一例患者，该患者出现不适、疲劳和全身疼痛等非特异性症状，实验室检查发现有横纹肌溶解症和急性肾损伤。初步诊断为无形体病，并开始对患者进行相应治疗。患者成功康复。我们的病例突出了无形体病合并横纹肌溶解症和急性肾损伤这种罕见的表现。需要医生提高认识以实现早期诊断并预防发病。
