Severe statin‐induced rhabdomyolysis mimicking Guillain–Barré syndrome in four patients with diabetes mellitus treated with fusidic acid

Abstract

The addition of fusidic acid can precipitate rhabdomyolysis in patients with diabetes already taking a statin. This can present with rapidly progressive weakness resembling Guillain-Barré syndrome. We recommend that creatine kinase is checked in patients with diabetes on statin therapy who present with profound weakness and routinely in those commenced on prolonged courses of fusidic acid.