Rhabdomyolysis Associated with Bacteremia due to Streptococcus viridans

Keiko ASAO; Yasunori UTSUNOMIYA; Keita HIRANO; Toshihide SHIKE; Toshiyuki IMASAWA; Kayoko OMURA; Haruo TOMONARI; Tetsuya KAWAMURA; Satoru KURIYAMA; Osamu SAKAI

doi:10.2169/internalmedicine.34.785

Rhabdomyolysis Associated with Bacteremia due to Streptococcus viridans

Keiko ASAO, Yasunori UTSUNOMIYA, Keita HIRANO, Toshihide SHIKE, Toshiyuki IMASAWA, Kayoko OMURA, Haruo TOMONARI, Tetsuya KAWAMURA, Satoru KURIYAMA, Osamu SAKAI

Author information

Keiko ASAO
the Department of Internal Medicine, Tokyo-to Saiseikai Central Hospital
Yasunori UTSUNOMIYA
the Department of Internal Medicine, Tokyo-to Saiseikai Central Hospital
Keita HIRANO
the Department of Internal Medicine, Tokyo-to Saiseikai Central Hospital
Toshihide SHIKE
the Department of Internal Medicine, Tokyo-to Saiseikai Central Hospital
Toshiyuki IMASAWA
the Department of Internal Medicine, Tokyo-to Saiseikai Central Hospital
Kayoko OMURA
the Department of Internal Medicine, Tokyo-to Saiseikai Central Hospital
Haruo TOMONARI
the Department of Internal Medicine, Tokyo-to Saiseikai Central Hospital
Tetsuya KAWAMURA
the Second Department of Internal Medicine, Jikei University School of Medicine
Satoru KURIYAMA
the Department of Internal Medicine, Tokyo-to Saiseikai Central Hospital
Osamu SAKAI
the Second Department of Internal Medicine, Jikei University School of Medicine

Keywords: myoglobin, myoglobinuria, rhabdomyolysis, renal failure, IgA nephropathy, Streptococcus salivarius, Streptococcus oralis

JOURNAL FREE ACCESS

1995 Volume 34 Issue 8 Pages 785-789

DOI https://doi.org/10.2169/internalmedicine.34.785

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Abstract

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.
(Internal Medicine 34: 785-789, 1995)

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