The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Severe Pneumonia with Rhabdomyolysis Caused by Mycoplasma Pneumonia

횡문근융해를 동반한 Mycoplasma Pneumoniae 중증 폐렴 1예

  • Koh, Gwang-Beom (Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Ki-Ho (Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Choi, Sang-Ho (Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Choi, Gwang-Hyeon (Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kang, Ji-Hoon (Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kang, Jong-Sik (Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Koh, Youn-Suck (Department of Pulmonology and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 고광범 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 박기호 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 최상호 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 최광현 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 강지훈 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 강종식 (울산대학교 의과대학 서울아산병원 감염내과) ;
  • 고윤석 (울산대학교 의과대학 서울아산병원 호흡기 내과 및 중환자 의학)
  • Published : 2012.09.01
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Abstract

Mycoplasma pneumoniae is a common cause of respiratory tract infections and typically causes mild disease. Extrapulmonary manifestations of M. pneumoniae infection are also common, but rhabdomyolysis is a rare complication. Here, we describe the case of a previously healthy 23-year-old male who displayed the simultaneous onset of rhabdomyolysis and severe pneumonia requiring mechanical ventilation. Both conditions were resolved by a 10-day course of antimicrobial treatment and the patient was discharged without complication.

Mycoplasma pneumoniae는 대부분 경한 폐렴을 일으키며 폐외 증상으로 횡문근융해를 동반하는 경우는 매우 드물다. 저자들은 횡문근융해를 동반한 중증 마이코플라즈마 폐렴을 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Chong YP, Jung KS, Lee KH, et al. The bacterial etiology of community-acquired pneumonia in Korea: a nationwide prospective multicenter study. Infect Chemother 2010;42:397-403. https://doi.org/10.3947/ic.2010.42.6.397
  2. Park SJ, Pai KS, Kim AR, et al. Fulminant and fatal multiple organ failure in a 12-year-old boy with mycoplasma pneumoniae infection. Allergy Asthma Immunol Res 2012;4: 55-57. https://doi.org/10.4168/aair.2012.4.1.55
  3. Kang YA, Yim JJ, Kim YW, Han SK, Shim YS, Yoo CG. A case of rhabdomyolysis with community acquired pneumonia. Tuberc Respir Dis 2005;58:59-63.
  4. Decaux G, Szyper M, Ectors M, Cornil A, Franken L. Central nervous system complications of Mycoplasma pneumoniae. J Neurol Neurosurg Psychiatry 1980;43:883-887. https://doi.org/10.1136/jnnp.43.10.883
  5. Belardi C, Roberge R, Kelly M, Serbin S. Myalgia cruris epidemica (benign acute childhood myositis) associated with a Mycoplasma pneumonia infection. Ann Emerg Med 1987;16:579-581. https://doi.org/10.1016/S0196-0644(87)80692-3
  6. Berger RP, Wadowksy RM. Rhabdomyolysis associated with infection by Mycoplasma pneumoniae: a case report. Pediatrics 2000;105:433-436. https://doi.org/10.1542/peds.105.2.433
  7. Daxbock F, Brunner G, Popper H, et al. A case of lung transplantation following Mycoplasma pneumoniae infection. Eur J Clin Microbiol Infect Dis 2002;21:318-322. https://doi.org/10.1007/s10096-002-0698-0
  8. Minami K, Maeda H, Yanagawa T, Suzuki H, Izumi G, Yoshikawa N. Rhabdomyolysis associated with Mycoplasma pneumoniae infection. Pediatr Infect Dis J 2003;22:291-293.
  9. Gupta R, Gupta A, Goyal V, Guleria R, Kumar A. Mycoplasma pneumonia associated with rhabdomyolysis and the Guillain-Barre syndrome. Indian J Chest Dis Allied Sci 2005;47:305-308.
  10. Weng WC, Peng SS, Wang SB, Chou YT, Lee WT. Mycoplasma pneumoniae: associated transverse myelitis and rhabdomyolysis. Pediatr Neurol 2009;40:128-130. https://doi.org/10.1016/j.pediatrneurol.2008.10.009