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Acute Rhabdomyolysis With No Apparent Cause: The Need to Check for Acute Human Immunodeficiency Virus Infection

Johnson, Khadeja J. MD; Jouett, Brandi MD; Ivonye, Chinedu C. MD

Infectious Diseases in Clinical Practice: January 2011 - Volume 19 - Issue 1 - p 68-69
doi: 10.1097/IPC.0b013e3181ee6250
Case Reports

A 26-year-old man with pharyngitis and recent negative rapid strep test results presented with fevers, rigors, and body aches and was found to have acute rhabdomyolysis. A diagnostic workup included tests for group A streptococcal pharyngitis, infectious mononucleosis, syphilis, and human immunodeficiency virus (HIV) infection. Test results were positive for syphilis and acute HIV infection. Rhabdomyolysis caused by acute HIV infection has been previously reported. However, our case found the patient to also be co-infected with other sexually transmitted infections. This case highlights the need to have a high index of suspicion for HIV infection in patients presenting with rhabdomyolysis without any apparent cause and the need to screen for other sexually transmitted infections in those patients.

From the Clinical Medicine, Morehouse School of Medicine, Atlanta, GA.

Correspondence to: Khadeja J. Johnson, MD, Clinical Medicine, Morehouse School of Medicine. 720 Westview Dr, SW Atlanta, GA 30310. E-mail:

The authors have no funding or conflicts of interest to disclose.

© 2011 Lippincott Williams & Wilkins, Inc.