Rhabdomyolysis Associated with Salmonella infection: A Case Report

IF 2.3 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Jeffrey G. Palmer BS, Armando Ugarte, Cameau Charleus, Smita Mathur MD, Samrawit Zinabu, Kevin Boluyt, Miriam Michael MD
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Abstract

Introduction

Rhabdomyolysis is a rare outcome of a Salmonella infection.

Case presentation

This case presents a 21-year-old male with rhabdomyolysis likely caused by an ongoing Salmonella infection. He initially presented to the emergency department (ED) with severe hyperthermia following extraneous physical activity. His CPK levels and other labs demonstrated evidence of rhabdomyolysis and acute kidney injury. His stool PCR was also positive for Salmonella. His clinical condition worsened with findings concerning bilateral compartment syndrome, so he underwent bilateral gluteal fasciotomy.

Discussion

There are limited case reports of a Salmonella infection causing rhabdomyolysis and progressing to compartment syndrome. This case highlights the importance of expanding the causes of rhabdomyolysis beyond its typical causes, such as crush injury and strenuous exercise. A systemic approach leads to a more favorable outcome and prevents further progression or complications of rhabdomyolysis.
横纹肌溶解与沙门氏菌感染相关:1例报告
横纹肌溶解是沙门氏菌感染的罕见结果。病例表现:该病例为21岁男性,横纹肌溶解可能由持续的沙门氏菌感染引起。他最初出现在急诊科(ED)严重高热后外来的身体活动。他的CPK水平和其他实验室显示横纹肌溶解和急性肾损伤的证据。他的粪便PCR也呈沙门氏菌阳性。他的临床状况恶化,发现双侧筋膜间室综合征,因此他接受了双侧臀筋膜切开术。有有限的病例报告沙门氏菌感染引起横纹肌溶解并进展为筋膜室综合征。本病例强调了扩大横纹肌溶解原因的重要性,超出了其典型原因,如挤压伤和剧烈运动。全身性入路可获得更好的结果,并可防止横纹肌溶解的进一步进展或并发症。
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来源期刊
CiteScore
4.80
自引率
3.00%
发文量
139
审稿时长
98 days
期刊介绍: Journal of the National Medical Association, the official journal of the National Medical Association, is a peer-reviewed publication whose purpose is to address medical care disparities of persons of African descent. The Journal of the National Medical Association is focused on specialized clinical research activities related to the health problems of African Americans and other minority groups. Special emphasis is placed on the application of medical science to improve the healthcare of underserved populations both in the United States and abroad. The Journal has the following objectives: (1) to expand the base of original peer-reviewed literature and the quality of that research on the topic of minority health; (2) to provide greater dissemination of this research; (3) to offer appropriate and timely recognition of the significant contributions of physicians who serve these populations; and (4) to promote engagement by member and non-member physicians in the overall goals and objectives of the National Medical Association.
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