RHABDOMYOLYSIS ASSOCIATED WITH COMMUNITY-ACQUIRED PNEUMONIA

被引:4
作者
CARON, F [1 ]
ROBERT, R [1 ]
BADIA, P [1 ]
MALIN, F [1 ]
BERKELMANS, F [1 ]
ROUSSEL, V [1 ]
机构
[1] CHU POITIERS,HOP JEAN BERNARD,SERV REANIMAT MED,F-86021 POITIERS,FRANCE
来源
REVUE DE MEDECINE INTERNE | 1994年 / 15卷 / 04期
关键词
RHABDOMYOLYSIS; COMMUNITY-ACQUIRED PNEUMONIA; STREPTOCOCCUS PNEUMONIAE;
D O I
10.1016/S0248-8663(94)80027-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Several cases of rhabdomyolysis associated with pneumococcal pneumonia have been recently reported. However their significance have been poorly investigated. In this retrospective study, we have compared the patients admitted in ICU for acute community-acquired pneumonia with or without rhabdomyolysis (groupe A: CPK greater-than-or-equal-to 1000 Ul/l). and group B: CPK < 1000 Ul/l). Among the 41 patients of the study, 12 (29%) belonged to the group A (CPK = 1852 +/- 535 Ul/l) and 29 (71%) to groupe B (CPK = 190 +/- 35 Ul/l). Neither the initial severity, nor renal impairment were different in the two groups. However the mortality was significantly higher in the group A (4/12) than in group B (2/29) (P < 0.05). In this study, pneumonia is frequently associated with rhabdomyolysis, without etiologic significance. In patients with pneumonia, rhabdomyolysis seems to be a bad prognostic indice unrelated with renal impairment.
引用
收藏
页码:240 / 243
页数:4
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