Rhabdomyolysis and acute kidney injury in Salmonella gastroenteritis: A case report

Introduction: Although infection by Salmonella has been commonly associated to diarrhea, complications such as cholecystitis, pancreatitis, acute pyelonephritis, osteomyelitis, myocarditis, encephalopathy, and multi-organ failure have been rarely reported. Case Report: Herein, we report a case of S. enteritidis gastroenteritis complicated by rhabdomyolysis and acute kidney injury, which was successfully treated with hydration and antibiotics without dialysis. In this report, we reviewed all the previously published cases of rhabdomyolysis associated with Salmonella infection in English literatures and discussed the prevalence, pathogenesis and treatment. Conclusion: Rhabdomyolysis was thought to be a rare complication of Salmonella infection. However, due to the variable manifestations that depend upon the extent and severity of muscle damage, rhabdomyolysis is perhaps under diagnosed as an extra-intestinal manifestation of Salmonella infection. Therefore, it is critical to recognize the condition promptly, initiate early antibiotics treatment and provide good supportive care. A high index of suspicion may help to reduce significant co-morbidities associated with the development of rhabdomyolysis in Salmonella infection. (This page in not part of the published article.) International Journal of Case Reports and Images, Vol. 6 No. 4, April 2015. ISSN – [0976-3198] Int J Case Rep Images 2015;6(4):233–238. www.ijcasereportsandimages.com Zhu et al. 233 CASE REPORT OPEN ACCESS Rhabdomyolysis and acute kidney injury in Salmonella gastroenteritis: A case report Ziqiang Zhu, Sina Aghaie, Andrei Bandarchuk, Anjula Gandhi