Group C streptococcal cellulitis associated with rhabdomyoly
The present case has been published in the Journal of American Academy of Dermatology. GCS has also been reported in septic arthritis, endocarditis, meningitis, pneumonia, necrotizing fasciitis, and toxic shock–like syndrome.

Rhabdomyolysis is not typically associated with this organism and has been reported in only 2 cases involving GCS pharyngitis and bacteremia. Here the authors report the first case of GCS cellulitis associated with rhabdomyolysis.

In this case, the authors present a patient that had rapidly evolving GCS cellulitis with no signs of necrotizing fasciitis over the course of 2 days.

The cellulitis was associated with an elevated CRP and CK, indicating an association with rhabdomyolysis; the patient also had complications of rhabdomyolysis including new cardiac arrhythmia, lactic acidosis, transient acute kidney injury, and hepatic inflammation seen in 25% of rhabdomyolysis patients.

Importantly, the patient did not have any changes in medications, direct muscle injury, electrolyte or endocrine abnormalities, environmental toxin exposure, or childhood myopathy.

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