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논문분류	춘계학술대회 초록집
제목	Klebsiella pneumonia induced rhabdomyolysis complicated with prostatic abscess and renal abscess
저자	Seungwoo Heo
출판정보	2023; 2023(1):
키워드
초록	Rhabdomyolysisisasyndromecharacterizedbymusclenecrosisandthereleaseofintracellularmuscleconstituentsintothecirculation.Rhabdomyolysiscanbecausedbyvariouscauses;includingtrauma,hyperkineticstates,seizures,myopathies,malignanthyperthermia,alcoholism,andinfection.Herein,wepresentKlebsiellapneumoniainfectioninducedrhabdomyolysis A66-year-oldmalewithamedicalhistoryofhypertension,benignprostatichyperplasia,cerebralhemorrhageandcerebralinfarction,presentedtothehospitalwithgeneralweaknessandvoidingdifficulty.Oninitialevaluation,hisbloodpressurewas110/78mmHg,pulsewas95/min,respiratoryrate18/minandbodytemperaturewas36.0°C.Laboratoryworkuprevealedthefollowingdata:whitebloodcells,51,790/uL;serumcreatinine,3.35mg/dL;bloodureanitrogen,62mg/dL;aminotransferase,570IU/L;alanineaminotransferase,224IU/L;creatinekinase(CK),9,211IU/L;lactatedehydrogenase,1,913IU/L;C-reactiveprotein,21.55mg/dL,serummyoglobin,>30000.00ng/mL(exceedinglimit);urinemyoglobin>30000.00ng/mL(exceedinglimit).Hisurinalysisshowedhematuriaexceeding1/2ofhigh-powerfield,proteinuria+++,pyuriaexceeding1/2ofhigh-powerfield.Abdomencomputedtomographywithoutcontrastrevealedprostateglandenlargementandfollowed-upCTafter2dayswithcontrastrevealedprostaticabscessesandacutepyelonephritisonrightkidney(Figure1).Thepatientwastreatedwithciprofloxacinintravenously.Onday3,hemodialysiswasperformedduetoazotemia.Atotalof10hemodialysissessionswereperformed.Seriallaboratoryfindingsarepresentedintable1.Percutaneousabscessdrainagewithcatheterwasperformed.Afterdrainage,theabscesswasdividedintotwosmallabscessesat6.7x8.4cm,andwasreducedto2.1cmontheleftand1.6cmontheright.BloodculturesbecamepositiveforExtended-spectrumbeta-lactamase(ESBL)-negativeKlebsiellapneumoniae.Thepatientwasdischargedwithserumcreatinineof1.05mg/dL.Klebsiellapneumoniaeisacommoncauseofurinarytractinfection.Toourknowledge,wepresentthefirstcaseofKlebsiellapneumoniainducedrhabdomyolysiscomplicatedwithprostaticabscessandrenalabscess.
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