Rhabdomyolysis induced by rosuvastatin combined with entecavir: a case report

BMC Infect Dis. 2022 Apr 11;22(1):365. doi: 10.1186/s12879-022-07254-0.

Abstract

Background: Rhabdomyolysis is a serious and potentially life threatening condition that can be caused by drugs. We report a case of acute hepatitis B with rhabdomyolysis after treatment with rosuvastatin and entecavir.

Case presentation: A 72-year-old female was admitted to our hospital due to acute hepatitis B infection. She had taken atorvastatin for 3 months before being admitted to our hospital. After being administered entecavir (ETV) and rosuvastatin to replace atorvastatin, she suffered from muscle pain in both lower limbs and was diagnosed with rhabdomyolysis. After discontinuation of the two drugs, the patient's symptoms subsided and creatine kinase levels returned to normal. We hypothesize that the rhabdomyolysis was caused by the combination of rosuvastatin and ETV.

Conclusions: We suggest that patients who use rosuvastatin and ETV be made aware of the complication of rhabdomyolysis.

Keywords: Entecavir; Rhabdomyolysis; Rosuvastatin.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Atorvastatin / adverse effects
  • Female
  • Guanine / analogs & derivatives
  • Hepatitis B*
  • Humans
  • Rhabdomyolysis* / chemically induced
  • Rhabdomyolysis* / diagnosis
  • Rosuvastatin Calcium / adverse effects

Substances

  • entecavir
  • Guanine
  • Rosuvastatin Calcium
  • Atorvastatin