Mohamed Ibrahim Abdullahi, Omar Abdullahi Abdirahman, Hassan Mohamed Abdulahi, Badawi Omar Hassan
Department of Internal Medicine and Intensive Care Unit, Dr. Sumait Hospitals, Faculty Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.
Department of Radiology, Dr. Sumait Hospital, Faculty Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.
Int Med Case Rep J. 2024 Nov 1;17:895-901. doi: 10.2147/IMCRJ.S492874. eCollection 2024.
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.
背景:社区获得性肺炎(CAP)是一种常见的传染病,可导致诸如横纹肌溶解症(RM)等并发症,这是一种罕见但可能危及生命的涉及肌肉分解的病症。横纹肌溶解症可通过引起急性肾损伤(AKI)使临床病程进一步复杂化。我们报告一例在资源有限环境下发生的社区获得性肺炎合并急性肾损伤并伴有横纹肌溶解症的病例。 病例介绍:一名67岁男性出现高热、咳嗽和呼吸急促。他没有显著的病史。检查时,他发热、呼吸急促且心动过速,右侧肺部有啰音。实验室检查显示炎症标志物升高且肾功能受损。胸部X线检查显示右上叶实变,确诊为肺炎和急性肾损伤。他接受了补液、抗生素治疗及支持治疗,但病情恶化,需要入住重症监护病房(ICU)。在ICU中,深色尿液和肌酸激酶升高证实了横纹肌溶解症。经过积极的补液治疗和使用抗生素后,患者在六天内病情好转并转至病房。到第10天,他完全康复并出院随访。 结论:本病例强调了即使在资源有限的环境下,早期识别和及时处理合并急性肾损伤和横纹肌溶解症的社区获得性肺炎的重要性。尽管存在挑战,但及时干预可带来良好的结果。
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2020-7
Eur J Case Rep Intern Med. 2023-7-10
Case Rep Infect Dis. 2017
Am J Case Rep. 2022-6-3
Eur J Case Rep Intern Med. 2024-7-4
J Med Case Rep. 2023-6-22
Am J Case Rep. 2022-6-3
Trauma Surg Acute Care Open. 2022-1-27
World J Clin Cases. 2019-12-26
Respir Med Case Rep. 2019-10-28