Volume 18, Number 5—May 2012
Dispatch
Rhabdomyolysis Associated with Antimicrobial Drug–Resistant Mycoplasma pneumoniae
Tomohiro Oishi
, Mitsuo Narita, Hitomi Ohya, Takayuki Yamanaka, Yuta Aizawa, Mai Matsuo, Masamichi Matsunaga, Shinya Tsukano, and Testuo Taguchi
, Mitsuo Narita, Hitomi Ohya, Takayuki Yamanaka, Yuta Aizawa, Mai Matsuo, Masamichi Matsunaga, Shinya Tsukano, and Testuo TaguchiTable
Laboratory test results for a 7-year-old patient with rhabdomyolysis associated with antimicrobial drug–resistant Mycoplasma pneumoniae, Japan, June 22–July 23, 2010*
| Laboratory test | Laboratory value, by days after onset of fever |
|||||
|---|---|---|---|---|---|---|
| 7 d | 9 d | 13 d | 17 d | 23 d | 31 d | |
| Leukocytes, ×109 cells/L | 6.2 | 8.0 | 11.8 | 7.3 | 5.9 | 4.7 |
| C-reactive protein, mg/L | 27 | 7 | 4 | 1 | <1 | <1 |
| Creatine phosphokinase, mg/L | 12,159 | 12,918 | 10,937 | 5,839 | 1,855 | 130 |
| Aspartate aminotransferase, IU/L | 161 | 203 | 169 | 94 | 101 | 24 |
| Alanine aminotransferase, IU/L | 83 | 205 | 284 | 209 | 162 | 37 |
| Lactate dehydrogenase, IU/L | 691 | 553 | 451 | 358 | 294 | 234 |
| Creatinine, μmol/L | 31.8 | 23.0 | 30.1 | 32.7 | 30.9 | 29.2 |
| Urine myoglobin, μg/L | 39,900 | NT | 2,500 | NT | 10 | <10 |
| Urine erythrocytes | 3+ | 3+ | ± | − | − | − |
| Serum interleukin-18, pg/mL | 612 | 519 | NT | NT | 367 | 232 |
| Serum tumor necrosis factor–α, pg/mL | 3.48 | 3.38 | NT | NT | 2.03 | 1.64 |
| M. pneumoniae titer | 1,280 | 10,240 | NT | NT | NT | NT |
*NT, not tested.
