{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T06:38:45Z","timestamp":1764571125881,"version":"3.40.5"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T00:00:00Z","timestamp":1708992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Postoperative <jats:italic>Legionella<\/jats:italic> pneumonia is very rare.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 71\u2010year\u2010old male patient with prostate cancer (cT2bN0M0) underwent a robotic\u2010assisted radical prostatectomy. On the 5th postoperative day, the patient developed chills and a fever of 39.2\u00b0C. Chest radiography revealed decreased permeability in the right middle lung field, leading to the diagnosis of postoperative pneumonia. Antimicrobial therapy was initiated immediately. Blood tests on postoperative day 10 revealed mild liver function abnormalities, electrolyte abnormalities, and a markedly elevated inflammatory response. <jats:italic>Legionella<\/jats:italic> pneumonia was suspected based on blood sample results and systemic symptoms, such as diarrhea and nausea. Furthermore, <jats:italic>Legionella<\/jats:italic> antigens were detected in the patient's urine, prompting further administration of levofloxacin. The patient's subsequent clinical course was favorable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>When bacterial pneumonia fails to respond to antimicrobial therapy and systemic symptoms develop, atypical pneumonia, caused by pathogens such as <jats:italic>Legionella pneumophila<\/jats:italic>, should be considered even in cases of postoperative pneumonia.<\/jats:p><\/jats:sec>","DOI":"10.1002\/iju5.12705","type":"journal-article","created":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T08:43:25Z","timestamp":1709023405000},"page":"213-216","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A case of <i>Legionella<\/i> pneumonia after robot\u2010assisted radical prostatectomy"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9902-1694","authenticated-orcid":false,"given":"Takuhisa","family":"Nukaya","sequence":"first","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiyohito","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4766-2074","authenticated-orcid":false,"given":"Kiyoshi","family":"Takahara","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Takenaka","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Zennami","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9783-2967","authenticated-orcid":false,"given":"Manabu","family":"Ichino","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitomi","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Sumitomo","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryoichi","family":"Shiroki","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,27]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"World Health Organization (WHO).Legionellosis. 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