{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:29:24Z","timestamp":1784194164831,"version":"3.55.0"},"reference-count":12,"publisher":"California Digital Library (CDL)","issue":"5","license":[{"start":{"date-parts":[[2021,3,12]],"date-time":"2021-03-12T00:00:00Z","timestamp":1615507200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: We present an unusual case of rhabdomyolysis secondary to Mycoplasma pneumoniae in a healthy 27-year-old female. M. pneumoniae is associated with numerous extrapulmonary manifestations, including acute hepatitis, Stevens-Johnson syndrome, and rhabdomyolysis. Most documented cases affect the pediatric population, with only five cases in adults reported in the literature. \n\nCase Report: The patient presented with complaints of myalgia and intractable cough. In this case the initial presentation demonstrated hypoxia requiring supplemental oxygen, and a creatine kinase of 7,646 units per liter (U\/L) (reference range 26-192 U\/L) with a peak of 29,427. During her hospitalization, she also remained persistently hypoxic for several days but ultimately was successfully weaned off all supplemental oxygen. She was discharged home after a seven-day hospitalization.\n\nConclusion: This patient\u2019s presentation of an insidious, upper respiratory infection along with the subsequent development of rhabdomyolysis with reactive antibodies to M. pneumoniae demonstrates a link between these two clinically important conditions.<\/jats:p>","DOI":"10.5811\/cpcem.2020.9.46024","type":"journal-article","created":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T21:14:39Z","timestamp":1621545279000},"page":"194-197","source":"Crossref","is-referenced-by-count":2,"title":["Rhabdomyolysis: A Case Report of an Extrapulmonary Presentation of Mycoplasma pneumoniae"],"prefix":"10.5811","volume":"2","author":[{"given":"Michael","family":"Gulenay","sequence":"first","affiliation":[{"name":"St. Lucie Medical Center, Palm Beach Consortium for Graduate Medical Education, Department of Emergency Medicine, Port St. Lucie, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. Andres","family":"Sasson","sequence":"additional","affiliation":[{"name":"St. Lucie Medical Center, Palm Beach Consortium for Graduate Medical Education, Department of Emergency Medicine, Port St. Lucie, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Taylor","sequence":"additional","affiliation":[{"name":"St. Lucie Medical Center, Palm Beach Consortium for Graduate Medical Education, Department of Emergency Medicine, Port St. Lucie, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29705","published-online":{"date-parts":[[2021,3,12]]},"reference":[{"key":"ref0","unstructured":"Wolfson AB, Cloutier RL, Hendey GW, et al. (2014). Harwood-Nuss\u2019 Clinical Practice of Emergency Medicine. Philadelphia, PA: Lippincott Williams & Wilkins."},{"key":"ref1","unstructured":"De Guzman M, Jung L, Muscal E, et al. Rhabdomyolysis. 2018. Available at: https:\/\/emedicine.medscape.com\/article\/1007814-overview. Accessed October 18, 2019."},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Kaler J, Mukhtar O, Khan B, et al. Rhabdomyolysis: An unusual presentation of\u00a0Mycoplasma pneumoniae\u00a0Infection in an adult: a case report and literature review.\u00a0Case Rep Med. 2018;2018:6897975.","DOI":"10.1155\/2018\/6897975"},{"key":"ref3","unstructured":"Khan FY and Sayed H. Rhabdomyolysis associated with Mycoplasma pneumoniae pneumonia. Hong Kong Med J. 2012;18(3):247-9."},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Gosselt A, Olijhoek J, Wierema T. Severe asymptomatic rhabdomyolysis complicating a Mycoplasma pneumonia.\u00a0BMJ Case Rep. 2017;2017:bcr2016217752.","DOI":"10.1136\/bcr-2016-217752"},{"key":"ref5","unstructured":"Gupta R, Gupta A, Goyal V, et al. Mycoplasma pneumonia associated with rhabdomyolysis and the Guillain-Barr\u00e9 syndrome. Indian J Chest Dis Allied Sci. 2005;47(4):305-8."},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Daxb\u00f6ck F, Brunner G, Popper H, et al. A case of lung transplantation following Mycoplasma pneumoniae infection. Eur J Clin Microbiol Infect Dis. 2002;21(4):318-22.","DOI":"10.1007\/s10096-002-0698-0"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Alaygut D, Torun bayram M, Kasap B, et al. Rhabdomyolysis with different etiologies in childhood. World J Clin Pediatr. 2017;6(4):161-8.","DOI":"10.5409\/wjcp.v6.i4.161"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Song WJ, Kang B, Lee HP, et al. Pediatric infection presenting with acute cholestatic hepatitis and other extrapulmonary manifestations in the absence of pneumonia. Pediatr Gastroenterol Hepatol Nutr. 2017;20(2):124-9.","DOI":"10.5223\/pghn.2017.20.2.124"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Berger RP and Wadowksy RM. Rhabdomyolysis associated with infection by Mycoplasma pneumoniae: a case report. Pediatrics. 2000;105(2):433-6.","DOI":"10.1542\/peds.105.2.433"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Wakabayashi Y, Nakano T, Kikuno T, et al. Massive rhabdomyolysis associated with influenza A infection. Intern Med. 1994;33(7):450-3.","DOI":"10.2169\/internalmedicine.33.450"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Pesik NT and Otten EJ. Severe rhabdomyolysis following a viral illness: a case report and review of the literature. J Emerg Med. 1996;14(4):425-8.","DOI":"10.1016\/0736-4679(96)00078-9"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T21:14:47Z","timestamp":1621545287000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/76z9c5mm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,12]]},"references-count":12,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,18]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.9.46024","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2021,3,12]]}}}