Dengue Viral Myositis Complicated with Rhabdomyolysis and Superinfection of Methicillin-Resistant Staphylococcus aureus
Dengue is endemic in Sri Lanka and the physician should be aware of different and unusual presentation of the illness. Rhabdomyolysis is a well-known complication following many viral and bacterial infections; however, only a few cases have been reported with dengue viral infections. Further occurre...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2013/194205 |
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| author | Vinothan Sunderalingam Thirumavalavan Kanapathipillai P. A. S. Edirisinghe K. M. M. P. Dassanayake I. H. G. S. Premawansa |
| author_facet | Vinothan Sunderalingam Thirumavalavan Kanapathipillai P. A. S. Edirisinghe K. M. M. P. Dassanayake I. H. G. S. Premawansa |
| author_sort | Vinothan Sunderalingam |
| collection | DOAJ |
| description | Dengue is endemic in Sri Lanka and the physician should be aware of different and unusual presentation of the illness. Rhabdomyolysis is a well-known complication following many viral and bacterial infections; however, only a few cases have been reported with dengue viral infections. Further occurrence of coinfection by dengue and bacteria such as methicillin-resistant Staphylococcus aureus (MRSA) has been underestimated, and few reports have been published so far. This case describes a 17-year-old boy who presented with prolonged severe myalgia, dark red urine, and a febrile illness that was diagnosed as having dengue viral myositis, dark red urine, and a febrile illness that was diagnosed as having dengue viral myositis complicated with rhabdomyolysis and superinfection of MRSA. Despite intensive care management, he died due to multiorgan failure. Autopsy and serological studies confirmed the diagnosis. This case stresses that red-coloured urine in dengue patients is not always due to haematuria, and if a patient’s vital signs do not respond to appropriate fluid management in DHF, sepsis from a secondary pathogen including MRSA should be suspected. |
| format | Article |
| id | doaj-art-9b3c838cb97f4eba877905265e4bec82 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-9b3c838cb97f4eba877905265e4bec822025-02-03T05:57:40ZengWileyCase Reports in Infectious Diseases2090-66252090-66332013-01-01201310.1155/2013/194205194205Dengue Viral Myositis Complicated with Rhabdomyolysis and Superinfection of Methicillin-Resistant Staphylococcus aureusVinothan Sunderalingam0Thirumavalavan Kanapathipillai1P. A. S. Edirisinghe2K. M. M. P. Dassanayake3I. H. G. S. Premawansa4Postgraduate Institute of Medicine, University of Colombo, Sri LankaColombo North Teaching Hospital, Ragama, Sri LankaFaculty of Medicine, University of Kelaniya, Ragama, Sri LankaColombo North Teaching Hospital, Ragama, Sri LankaColombo North Teaching Hospital, Ragama, Sri LankaDengue is endemic in Sri Lanka and the physician should be aware of different and unusual presentation of the illness. Rhabdomyolysis is a well-known complication following many viral and bacterial infections; however, only a few cases have been reported with dengue viral infections. Further occurrence of coinfection by dengue and bacteria such as methicillin-resistant Staphylococcus aureus (MRSA) has been underestimated, and few reports have been published so far. This case describes a 17-year-old boy who presented with prolonged severe myalgia, dark red urine, and a febrile illness that was diagnosed as having dengue viral myositis, dark red urine, and a febrile illness that was diagnosed as having dengue viral myositis complicated with rhabdomyolysis and superinfection of MRSA. Despite intensive care management, he died due to multiorgan failure. Autopsy and serological studies confirmed the diagnosis. This case stresses that red-coloured urine in dengue patients is not always due to haematuria, and if a patient’s vital signs do not respond to appropriate fluid management in DHF, sepsis from a secondary pathogen including MRSA should be suspected.http://dx.doi.org/10.1155/2013/194205 |
| spellingShingle | Vinothan Sunderalingam Thirumavalavan Kanapathipillai P. A. S. Edirisinghe K. M. M. P. Dassanayake I. H. G. S. Premawansa Dengue Viral Myositis Complicated with Rhabdomyolysis and Superinfection of Methicillin-Resistant Staphylococcus aureus Case Reports in Infectious Diseases |
| title | Dengue Viral Myositis Complicated with Rhabdomyolysis and Superinfection of Methicillin-Resistant Staphylococcus aureus |
| title_full | Dengue Viral Myositis Complicated with Rhabdomyolysis and Superinfection of Methicillin-Resistant Staphylococcus aureus |
| title_fullStr | Dengue Viral Myositis Complicated with Rhabdomyolysis and Superinfection of Methicillin-Resistant Staphylococcus aureus |
| title_full_unstemmed | Dengue Viral Myositis Complicated with Rhabdomyolysis and Superinfection of Methicillin-Resistant Staphylococcus aureus |
| title_short | Dengue Viral Myositis Complicated with Rhabdomyolysis and Superinfection of Methicillin-Resistant Staphylococcus aureus |
| title_sort | dengue viral myositis complicated with rhabdomyolysis and superinfection of methicillin resistant staphylococcus aureus |
| url | http://dx.doi.org/10.1155/2013/194205 |
| work_keys_str_mv | AT vinothansunderalingam dengueviralmyositiscomplicatedwithrhabdomyolysisandsuperinfectionofmethicillinresistantstaphylococcusaureus AT thirumavalavankanapathipillai dengueviralmyositiscomplicatedwithrhabdomyolysisandsuperinfectionofmethicillinresistantstaphylococcusaureus AT pasedirisinghe dengueviralmyositiscomplicatedwithrhabdomyolysisandsuperinfectionofmethicillinresistantstaphylococcusaureus AT kmmpdassanayake dengueviralmyositiscomplicatedwithrhabdomyolysisandsuperinfectionofmethicillinresistantstaphylococcusaureus AT ihgspremawansa dengueviralmyositiscomplicatedwithrhabdomyolysisandsuperinfectionofmethicillinresistantstaphylococcusaureus |