Rhabdomyolysis associated with bacteremia due to Streptococcus viridans.

A 25-year-old man was admitted with complaints of fever and macrohematuria. Laboratory tests showed a substantial increase in serum creatine phosphokinase and creatinine in association with myoglobinuria and proteinuria. Blood culture grew Streptococcus salivarius and Streptococcus oralis. Findings of renal biopsy were compatible with IgA nephropathy. The glomeruli had a mild mesangial proliferation without crescentic lesions. Changes of the interstitium and tubules were not evident. The clinical course and laboratory results strongly suggested a possible link between Streptococcus salivarius/oralis infection, and rhabdomyolysis. Rhabdomyolysis is rarely seen as a complication of bacterial infection, and the present case emphasizes the importance of suspecting bacteremia due to Streptococcus salivarius/oralis in the presence of rhabdomyolysis.

[1]  G. Becker,et al.  Acute renal failure in IgA nephropathy. , 1994, Clinical nephrology.

[2]  M. Fujimura,et al.  Rhabdomyolysis associated with bacteremic pneumonia due to Staphylococcus aureus. , 1994, Internal medicine.

[3]  V. Spataro,et al.  Rhabdomyolysis associated with bacteremia due to Streptococcus pneumoniae: case report and review. , 1993, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[4]  J. Moorhead,et al.  Acute tubular necrosis due to rhabdomyolysis and pancreatitis associated with Salmonella enteritidis food poisoning. , 1993, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.

[5]  A. Morley,et al.  Immunoperoxidase techniques and histology in the diagnosis of rhabdomyolysis related acute renal failure. , 1992, Journal of clinical pathology.

[6]  R. Ménard,et al.  Legionnaires' disease and acute renal failure: case report and review. , 1992, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[7]  D. Beighton,et al.  A scheme for the identification of viridans streptococci. , 1991, Journal of medical microbiology.

[8]  A. Man,et al.  Rhabdomyolysis associated with Salmonella group C gastroenteritis in a patient suffering from chronic renal failure. , 1991, Nephron.

[9]  K. Benirschke,et al.  Rhabdomyolysis and Staphylococcus aureus septicemia in a man with the acquired immunodeficiency syndrome. , 1990, The Western journal of medicine.

[10]  D. Yeshurun,et al.  Rhabdomyolysis in pneumococcal sepsis. , 1989, The American journal of medicine.

[11]  A. Rudinger,et al.  Rhabdomyolysis with penumococcal pneumonia: A report of two cases , 1989 .

[12]  Y. Nakamura,et al.  [A case of Legionnaires' disease associated with rhabdomyolysis]. , 1989, Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases.

[13]  C. Leroux-Robert,et al.  Salmonella bonariensis salmonellosis, rhabdomyolysis, and acute renal failure. , 1989, Nephron.

[14]  A. Rudinger,et al.  Rhabdomyolysis with pneumococcal pneumonia: a report of two cases. , 1989, The American journal of medicine.

[15]  M. Ward.  Factors predictive of acute renal failure in rhabdomyolysis. , 1988, Archives of internal medicine.

[16]  A. Lupo,et al.  Acute changes in renal function in IgA nephropathy. , 1987, Seminars in Nephrology.

[17]  F. Yoshii,et al.  [Rhabdomyolysis associated with staphylococcal septicemia]. , 1986, Rinshō shinkeigaku Clinical neurology.

[18]  L. Ruilope,et al.  Acute worsening of renal function during episodes of macroscopic hematuria in IgA nephropathy. , 1985, Kidney international.

[19]  M. Raff,et al.  Rhabdomyolysis associated with pneumococcal sepsis. , 1985, Diagnostic microbiology and infectious disease.

[20]  J. Vestrup,et al.  Myositis and rhabdomyolysis due to Staphylococcus aureus septicemia. , 1984, The Journal of infectious diseases.

[21]  P. Kincaid‐smith,et al.  The clinical course of mesangial IgA associated nephropathy in adults. , 1984, The Quarterly journal of medicine.

[22]  G. Friman,et al.  Effects of Streptococcus pneumoniae, Salmonella typhimurium and Francisella tularensis infections on oxidative, glycolytic and lysosomal enzyme activity in red and white skeletal muscle in the rat. , 1984, Scandinavian journal of infectious diseases.

[23]  P. Kincaid‐smith,et al.  Acute renal failure in mesangial IgA nephropathy. , 1984, Contributions to nephrology.

[24]  G. H. Clowes,et al.  Muscle proteolysis induced by a circulating peptide in patients with sepsis or trauma. , 1983, The New England journal of medicine.

[25]  W. Bennett,et al.  Macroscopic hematuria in mesangial IgA nephropathy: correlation with glomerular crescents and renal dysfunction. , 1983, Kidney international.

[26]  P. Gabow,et al.  The Spectrum of Rhabdomyolysis , 1982, Medicine.

[27]  S. Shulman,et al.  Generalized nonsuppurative myositis with staphylococcal septicemia. , 1980, The Journal of pediatrics.

[28]  R. T. Porter.  Legionnaires' disease. , 1978, British medical journal.

[29]  J. Knochel.  The pathophysiology and clinical characteristics of severe hypophosphatemia. , 1977, Archives of internal medicine.

[30]  E. Bywaters,et al.  THE PRODUCTION OF RENAL FAILURE FOLLOWING INJECTION OF SOLUTIONS CONTAINING MYOHÆMOGLOBIN , 1944 .

[31]  E. Bywaters,et al.  Crush Injuries with Impairment of Renal Function , 1941, British medical journal.