Title A rare case of tularemia complicated by rhabdomyolysis with a successful outcome /
Authors Kubiliūtė, Ieva ; Zablockienė, Birutė ; Paulauskienė, Rasutė ; Navickas, Giedrius ; Jančorienė, Ligita
DOI 10.3390/medicina57050449
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Is Part of Medicina.. Kaunas; Basel : LSMU, MDPI AG. 2021, vol. 57, no. 5, art. no. 449, p. [1-4].. ISSN 1010-660X. eISSN 1648-9144
Keywords [eng] tularemia ; ulceroglandular tularemia ; Francisella tularensis ; rhabdomyolysis
Abstract [eng] We present a case of tularemia complicated by rhabdomyolysis in a 43-year-old male who presented with fever, swelling, and pain of the right groin and a history of a week-old tick bite. Empirical parenteral amoxicillin/clavulanic acid treatment was initiated. Suspecting tularemia, parenteral gentamycin was added. Later, the patient started to complain of muscle pain, weakness, and difficulties in breathing and walking. Heightened levels of creatine kinase and myoglobin concentration (42,670 IU/L and >12,000 μg/L, respectively) were found. Due to rhabdomyolysis, large amounts of intravenous fluid therapy were initiated to prevent kidney damage, continuing intravenous antibiotic therapy. Francisella tularensis IgG in serum was found to be positive only on the sixteenth day of hospitalization. Upon discharge, the laboratory analyses returned to normal levels, and the patient was in good condition. The successful outcome could be associated with the early appropriate therapy of tularemia and its rare complication of rhabdomyolysis.
Published Kaunas; Basel : LSMU, MDPI AG
Type Journal article
Language English
Publication date 2021
CC license CC license description