RHABDOMYOLYSIS ASSOCIATED WITH BACTEREMIA DUE TO STREPTOCOCCUS VIRIDANS

25-year-old man was admitted with complaints of fever and macrohematur ia, Laboratory tests showed a substantial increase in serum creatine p hosphokinase and creatinine in association with myoglobinuria and prot einuria. Blood culture grew Streptococcus salivarius and Streptococcus oralis. Findings of renal biopsy were compatible with IgA nephropathy . The glomeruli had a mild mesangial proliferation without crescentic lesions. Changes of the interstitium and tubules were not evident. The clinical course and laboratory results strongly suggested a possible link between Streptococcus salivarius/oralis infection, and rhabdomyol ysis. Rhabdomyolysis is rarely seen as a complication of bacterial inf ection, and the present case emphasizes the importance of suspecting b acteremia due to Streptococcus salivarius/oralis in the presence of rh abdomyolysis.