Rhabdomyolysis is associated with various bacterial and virus infections. The occurrence of rhabdomyolysis with tularemia is very rare and described only in case reports. It is associated with higher morbidity and mortality.
In this article, we present a case of severe rhabdomyolysis and tularemia as well as a review of all the cases reported in the English literature.
Rhabdomyolysis is considered one of the factors associated with a poor outcome in tularemia. It occurs mainly in patients having pneumonic tularemia or bacteremia. Acute kidney injury is a constant finding in all patients.
This case emphasizes the importance of considering the diagnosis of tularemia in patients coming with rhabdomyolysis. Early diagnosis and intervention can lead to better outcome.
From the *Departments of Internal Medicine, †Nephrology, and ‡Infectious Disease, The University of Kansas School of Medicine-Wichita, Wichita, KS.
Reprints: Edgard Wehbe, MD, Department of Internal Medicine, University of Kansas School of Medicine-Wichita, 1010 North Kansas, Wichita, KS 67214. E-mail: email@example.com.