PDF(Pubmed)
Abstract：
Rhabdomyolysis is characterized by the degradation of skeletal muscle tissue, which releases cellular contents into circulation. This condition commonly stems from various factors, including trauma, overexertion, muscular hypoxia, infections, metabolic and electrolyte imbalances, certain medications, toxins, and genetic abnormalities. Despite this, instances of rhabdomyolysis precipitated by bacteremia of infective endocarditis remain exceedingly rare. This report describes an unusual case wherein infective endocarditis manifested as rhabdomyolysis, accompanied by a muscular abscess and acute renal failure. The patient\'s condition was successfully managed through hydration and targeted antibiotic therapy, leading to a favorable recovery. The case underscores the importance of vigilance for extracardiac symptoms and signs of infective endocarditis, such as rhabdomyolysis and muscular abscesses. Of particular note in this case was the discovery of an atypical causal bacterium, Streptococcus dysgalactiae, in the setting of infective endocarditis. This case highlights the broad range of potential manifestations and causal factors associated with this serious cardiac condition.
摘要：
横纹肌溶解症的特征是骨骼肌组织的降解，将细胞内容物释放到循环中。这种情况通常源于各种因素，包括外伤,过度劳累,肌肉缺氧，感染,代谢和电解质失衡，某些药物,毒素,和遗传异常。尽管如此,由感染性心内膜炎菌血症引起的横纹肌溶解仍然极为罕见。本报告描述了一个不寻常的病例，其中感染性心内膜炎表现为横纹肌溶解，伴有肌肉脓肿和急性肾功能衰竭。通过水合和靶向抗生素治疗，患者的病情得到了成功控制。导致有利的复苏。该病例强调了对感染性心内膜炎的心外症状和体征保持警惕的重要性。如横纹肌溶解和肌肉脓肿。在这种情况下，特别值得注意的是发现了一种非典型致病细菌，乳酸链球菌，在感染性心内膜炎的背景下。该病例突出了与这种严重心脏病相关的广泛的潜在表现和因果因素。
