Rhabdomyolysis associated to disseminated gonococcal infection in an elderly woman.

Disseminated Gonococcal Infection (DGI) is very unusual in elderly patients and its association with Rhabdomyolysis (RML) has not been published for w hich reason we are presenting a case of RML secondary to DGI in an elderly women. We presume that the muscle damage was directly related with the gono coccal infection through toxin generation and release of endogenous mediato rs from mononuclear phagocytes and neutrophils and/or with ischemic injury due to altered tissue perfusion evidenced in this case by the presence of h ypotension, oliguria and acidosis. We suggest that DGI be added to the RML infectious etiologies and considered in the initial differential diagnosis of all patients with polyarthritis and RML in order to facilitate an optima l treatment.