Community-acquired pneumonia with rhabdomyolysis
Noboru Takayanagi Daidou Tokunaga Motoko Kubota Kenichirou Hara Hiroo Saito Mikio Ubukata Kazuyoshi Kurashima Tsutomu Yanagisawa Yutaka Sugita
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
We assessed the frequency and etiology of rhabdomyolysis in patients with community-acquired pneumonia. In 594 patients with community-acquired pneumonia whose serum CPK were measured, 25 patients (2.4%) were found to have rhabdomyolysis. Including 4 patients with mixed infections, the etiologies in 25 patients with community-acquired pneumonia with rhabdomyolysis were as follows: Legionella species, 11 patients (44%); Influenza virus, 6 (24%); Streptococcus pneumoniae, 4 (16%); Chlamydia psittaci, 3 (12%); Mycoplasma pneumoniae, 2 (8%); unknown 3 patients (12%). The rates of rhabdomyolysis for each etiologic category were as follows: Legionella species, 26.8% (11/41); Chlamydia psittaci, 21.4% (3/14); Influenza virus, 9.5% (6/63); Streptococcus pneumoniae, 4.7% (4/85); Mycoplasma pneumoniae, 3.1% (2/65). Renal dysfunction with a serum creatinine concentration greater than 1.5 mg/dl occurred in 6 patients (24%). Our experience illustrates that 5 pathogens can cause rhabdomyolysis in patients with community-acquired pneumonia. Legionella species are the most common organisms followed by Influenza virus, Streptococcus pneumoniae, Chlamydia psittaci, Mycoplasma pneumoniae.
Rhabdomyolysis Community-acquired pneumonia Legionella pneumonia Renal dysfunction
Received 平成17年5月18日
JJRS, 43(12): 731-735, 2005