RHABDOMYOLYSIS- A RARE COMPLICATION OF ENTERIC FEVER

Volume : VII, Issue : VII, July - 2018

Dr. Payal J Ghoghara, Dr. Arpan K Patel, Dr. Chirag R Patel, Dr. Hiren Pandya, Dr. Rina Gandhi

A Young Female presented with fever, diarrhea and acute renal failure in absence of hypovolemia, hypotension, hemolysis, thrombocytopenia

and pre–existing renal disease with no past history of DM and Hypertension.

Ÿ P/S for malarial parasite and PfHRP antigen test was negative

Ÿ On evaluating further for cause of ARF, her CPK–TOTAL and urin for myoglobin found to be raised in absence of muscle weakness.

Ÿ On further investigation she was not found to be having any other risk factor for rhabdomyolysis like toxins, seizures, drugs, inflammatory

myopathy, vigorous exercise and family history of muscle disease.

Ÿ Her S.Igm for S.typhi and clot culture was positive and S.widal had an increasing titre for Enteric fever.

Ÿ She was treated successfully with antibiotics and sodium bicarbonate and was cured.

Ÿ Rhabdomyolysis is documented to be occure with infectious diseases and viruses are the most common cause of it.

Ÿ This is reported case of rare presentation of enteric fever as rhabdomyolysis.