Rhabdomyolysis: A Rare Complication of Enteric Fever

A Young Female presented with fever, diarrhea and acute renal failure in absence of hypovolemia, hypotension, hemolysis, thrombocytopenia and pre-existing renal disease with no past history of DM and Hypertension. P/S for malarial parasite and PfHRPantigentest was negative on evaluating further for cause of ARF, her CPK-TOTAL and urine for myoglobin found to be raised in absence of muscle weakness. On further investigation she was not found to be having any other risk factor for rhabdomyolysis like toxins, seizures, drugs, inflammatory Myopathy, vigorous exercise and family history of muscle disease. Her S. Igm for S. typhi and clot culture was positive and S. widal had an increasing titre for Enteric fever. She was treated successfully with antibiotics and sodium bicarbonate and was cured. Rhabdomyolysis is documented to be occure with infectious diseases and viruses are the most common cause of it. This is reported case of rare presentation of enteric fever as rhabdomyolysis.