Case (Reference number) | Age (Yrs) | Sex | Indication for SMX-TMP, number of doses | Rhabdomyolysis-related signs, symptoms, and laboratory findings | Days until symptom onset | Creatine Kinase Level (U/L) max | Days until recovery post positive dechallenge, CK (U/L) at recovery | Confounding etiologic factors |
1 (14) | 40 | F | UTI[A], 4 | Muscle tenderness, Myalgia, Weakness, SCr 1.5 mg/dL (0.6 - 1.1 mg/dL) | 2 | 20 063 | NA, 760 | None reported |
2 (15) | 64 | M | UTI[B], 7 | Myoglobinuria, Myalgia, Tea-colored urine, elevated transaminases, lactate dehydrogenase, mild acidosis, hyponatremia, hypocalcemia, hyperuricemia | 5 [2] †| 64 691 | 6 days, 4720 | NSAIDs*, CYP2C9 inhibition |
3 (Our patient report) | 43 | F | UTI[C], 5 | Proteinuria, Myalgia, elevated transaminases, hyponatremia, hypocalcemia | 2 | 45 020 | 8 days, 2809 | ‡Alcoholism, atypical antidepressant |