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Legionella pneumonia complicated by rhabdomyolysis.
- Source :
-
BMJ case reports [BMJ Case Rep] 2019 Jun 20; Vol. 12 (6). Date of Electronic Publication: 2019 Jun 20. - Publication Year :
- 2019
-
Abstract
- Legionnaires' disease is a recognised but rare cause of rhabdomyolysis. It can be further complicated with renal impairment. In this case report, we describe a previously healthy, semiactive 50-year-old man who within days was reduced to having periods of dyspnea after minutes of walking in addition to near fatal acute renal failure. He was found to have the rare triad of Legionella pneumonia, renal failure and rhabdomyolysis, which is associated with high morbidity and mortality. He was treated according to guidelines with azithromycin monotherapy and aggressive fluid hydration. 20 days after admission, the patient was walking independently and discharged home.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Acute Kidney Injury etiology
Anti-Bacterial Agents therapeutic use
Azithromycin therapeutic use
Diagnosis, Differential
Humans
Legionella pneumophila isolation & purification
Legionnaires' Disease diagnosis
Legionnaires' Disease drug therapy
Legionnaires' Disease microbiology
Male
Middle Aged
Pneumonia diagnosis
Pneumonia microbiology
Rhabdomyolysis microbiology
Rhabdomyolysis pathology
Treatment Outcome
Legionnaires' Disease complications
Pneumonia complications
Rhabdomyolysis etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 12
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 31227570
- Full Text :
- https://doi.org/10.1136/bcr-2019-229243