Rhabdomyolysis: A Case Report of an Extrapulmonary Presentation of Mycoplasma pneumoniae

Author:

Gulenay Michael1,Sasson V. Andres1,Taylor Kevin1

Affiliation:

1. St. Lucie Medical Center, Palm Beach Consortium for Graduate Medical Education, Department of Emergency Medicine, Port St. Lucie, Florida

Abstract

Introduction: We present an unusual case of rhabdomyolysis secondary to Mycoplasma pneumoniae in a healthy 27-year-old female. M. pneumoniae is associated with numerous extrapulmonary manifestations, including acute hepatitis, Stevens-Johnson syndrome, and rhabdomyolysis. Most documented cases affect the pediatric population, with only five cases in adults reported in the literature. Case Report: The patient presented with complaints of myalgia and intractable cough. In this case the initial presentation demonstrated hypoxia requiring supplemental oxygen, and a creatine kinase of 7,646 units per liter (U/L) (reference range 26-192 U/L) with a peak of 29,427. During her hospitalization, she also remained persistently hypoxic for several days but ultimately was successfully weaned off all supplemental oxygen. She was discharged home after a seven-day hospitalization. Conclusion: This patient’s presentation of an insidious, upper respiratory infection along with the subsequent development of rhabdomyolysis with reactive antibodies to M. pneumoniae demonstrates a link between these two clinically important conditions.

Publisher

Western Journal of Emergency Medicine

Subject

Emergency Nursing,Emergency Medicine

Reference12 articles.

1. Wolfson AB, Cloutier RL, Hendey GW, et al. (2014). Harwood-Nuss’ Clinical Practice of Emergency Medicine. Philadelphia, PA: Lippincott Williams & Wilkins.

2. De Guzman M, Jung L, Muscal E, et al. Rhabdomyolysis. 2018. Available at: https://emedicine.medscape.com/article/1007814-overview. Accessed October 18, 2019.

3. Kaler J, Mukhtar O, Khan B, et al. Rhabdomyolysis: An unusual presentation of Mycoplasma pneumoniae Infection in an adult: a case report and literature review. Case Rep Med. 2018;2018:6897975.

4. Khan FY and Sayed H. Rhabdomyolysis associated with Mycoplasma pneumoniae pneumonia. Hong Kong Med J. 2012;18(3):247-9.

5. Gosselt A, Olijhoek J, Wierema T. Severe asymptomatic rhabdomyolysis complicating a Mycoplasma pneumonia. BMJ Case Rep. 2017;2017:bcr2016217752.

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