Tsutsugamushi Infection-Associated Acute Rhabdomyolysis and Acute Renal Failure.
- Author:
Chi Young PARK
1
;
Choon Hae CHUNG
;
Hyun Lee KIM
;
Jong Hoon CHUNG
Author Information
1. Department of Internal Medicine, College of Medicine, Chosun University, Kwangju, Korea. chchung@mail.chosun.ac.kr
- Publication Type:Case Report ; Research Support, Non-U.S. Gov't
- Keywords:
Tsutsugamushi infection;
Rhabdomyolysis;
Acute renal failure
- MeSH:
Acute Disease;
Aged;
Creatine Kinase/blood;
Doxycycline/therapeutic use;
Female;
Human;
Kidney Failure/*etiology;
Rhabdomyolysis/*etiology;
Scrub Typhus/*complications/*diagnosis/drug therapy;
Support, Non-U.S. Gov't
- From:The Korean Journal of Internal Medicine
2003;18(4):248-250
- CountryRepublic of Korea
- Language:English
-
Abstract:
Rhabdomyolysis is a rare complication that emerges in a variety of infectious diseases, such as tsutsugamushi infection. In this study, we report a 71-year-old female patient with tsutsugamushi infection who exhibiting rhabdomyolysis and acute renal failure. On admission, an eschar, which is characteristic of tsutsugamushi infection, was found on her right flank area. Moreover, her tsutsugamushi antibody titer was 1: 40960. The elevated values of serum creatinine phosphokinase (CPK), aldolase, creatinine and dark brown urine secondary to myoglobinuria are consistent with indications of rhabdomyolysis and acute renal failure due to tsutsugamushi infection. Her health improved without any residual effects after treatment with doxycyclin and hydration with normal saline.
