• J Coll Physicians Surg Pak · Jun 2021

    Case Reports

    Streptococcal Pharyngitis: Delving Deeper than the Throat.

    • Sadaf Sheikh, Umair Javed, and Muhammad Akbar Baig.
    • Department of Emergency Medicine, Sultan Qaboos University Hospital, Muscat, Oman.
    • J Coll Physicians Surg Pak. 2021 Jun 1; 31 (6): 732734732-734.

    AbstractAcute rhabdomyolysis and elevated transaminases during streptococcal pharyngitis are rare presentations. The proposed pathophysiological mechanisms include direct bacterial invasion and toxin generation. Physicians should be aware of the association between these infections and the above-mentioned complications to facilitate optimal treatment of these patients. We present the case of a 18-years-old gentleman with β-haemolytic streptococcal pharyngitis complicated by rhabdomyolysis and elevated liver function tests. Such high levels of creatine phosphokinase of 111856 IU/L and elevated liver function tests with aspartate aminotransferase (AST) of 1862 U/L and alanine aminotransferase (ALT) of 1003 U/L in streptococcal pharyngitis is rare to find in the literature. He was treated with aggressive intravenous hydration, antibiotics and hemodialysis. Key Words: Rhabdomyolysis, β-haemolytic Streptococci, Creatine phosphokinase, Liver function tests.

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