Rhabdomyolysis: A Case Report of an Extrapulmonary Presentation of Mycoplasma pneumoniae
Rhabdomyolysis, Mycoplasma pneumoniae, extrapulmonary manifestations
Bacterial Infections and Mycoses | Emergency Medicine | Infectious Disease | Musculoskeletal Diseases | Respiratory Tract Diseases
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 or Conference
Clinical Practice and Cases in Emergency Medicine
Gulenay M, Sasson VA, & Taylor K. Rhabdomyolysis: A Case Report of an Extrapulmonary Presentation of Mycoplasma pneumoniae. Clinical Practice and Cases in Emergency Medicine. 2021;():uciem_cpcem_52452. https://escholarship.org/uc/item/76z9c5mm