Myositis and acute kidney injury in bacterial atypical pneumonia : systematic literature review
Articolo
Data di Pubblicazione:
2020
Citazione:
Myositis and acute kidney injury in bacterial atypical pneumonia : systematic literature review / C. Simoni, P. Camozzi, P.B. Fare, M.G. Bianchetti, L. Kottanattu, S.A.G. Lava, G.P. Milani. - In: JOURNAL OF INFECTION AND PUBLIC HEALTH. - ISSN 1876-0341. - 13:12(2020), pp. 2020-2024. [10.1016/j.jiph.2020.10.007]
Abstract:
Background: Bacterial community-acquired atypical pneumonia is sometimes complicated by a myositis or by a renal parenchymal disease. Available reviews do not mention the concurrent occurrence of both myositis and acute kidney injury. Methods: In order to characterize the link between bacterial community-acquired atypical pneumonia and both myositis and a renal parenchymal disease, we reviewed the literature (United States National Library of Medicine and Excerpta Medica databases). Results: We identified 42 previously healthy subjects (35 males and 7 females aged from 2 to 76, median 42 years) with a bacterial atypical pneumonia associated both with myositis (muscle pain and creatine kinase ≥5 times the upper limit of normal) and acute kidney injury (increase in creatinine to ≥1.5 times baseline or increase by ≥27 μmol/L above the upper limit of normal). Thirty-six cases were caused by Legionella species (N = 27) and by Mycoplasma pneumoniae (N = 9). Further germs accounted for the remaining 6 cases. The vast majority of cases (N = 36) presented a diffuse myalgia. Only a minority of cases (N = 3) were affected by a calf myositis. The diagnosis of rhabdomyolysis-associated kidney injury was retained in 37 and that of acute interstitial nephritis in the remaining 5 cases. Conclusion: Bacterial atypical pneumonia may occasionally induce myositis and secondary kidney damage.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Acute kidney injury; Acute renal failure; Chlamydia; Mycoplasma; Rhabdomyolysis
Elenco autori:
C. Simoni, P. Camozzi, P.B. Fare, M.G. Bianchetti, L. Kottanattu, S.A.G. Lava, G.P. Milani
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