{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T17:32:11Z","timestamp":1785259931008,"version":"3.55.0"},"reference-count":26,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,5,30]]},"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:p>Legionnaires\u2019 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 <jats:italic>Legionella<\/jats:italic> 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.<\/jats:p>","DOI":"10.1136\/bcr-2019-229243","type":"journal-article","created":{"date-parts":[[2019,6,21]],"date-time":"2019-06-21T06:16:42Z","timestamp":1561097802000},"page":"e229243","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["<i>Legionella<\/i> pneumonia complicated by rhabdomyolysis"],"prefix":"10.1136","volume":"12","author":[{"given":"Bayu","family":"Sutarjono","sequence":"first","affiliation":[{"name":"Internal Medicine, Brookdale University Hospital Medical Center, Brooklyn, New York, USA"},{"name":"Saba University School of Medicine, Devens, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janeah","family":"Alexis","sequence":"additional","affiliation":[{"name":"Internal Medicine, Brookdale University Hospital Medical Center, Brooklyn, New York, USA"},{"name":"New York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jency Cynthia","family":"Sachidanandam","sequence":"additional","affiliation":[{"name":"Internal Medicine, Brookdale University Hospital Medical Center, Brooklyn, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,6,20]]},"reference":[{"key":"2025082713045352000_12.6.e229243.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(14)70713-3"},{"key":"2025082713045352000_12.6.e229243.2","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/S0140-6736(15)60078-2","article-title":"Legionnaires' disease","volume":"387","author":"Cunha","year":"2016","journal-title":"The Lancet"},{"key":"2025082713045352000_12.6.e229243.3","first-page":"165","article-title":"Legionnaires\u2019 disease and acute renal failure: a case report and literature review","volume":"80","author":"Boucree","year":"1988","journal-title":"J Natl Med Assoc"},{"key":"2025082713045352000_12.6.e229243.4","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/22.4.642"},{"key":"2025082713045352000_12.6.e229243.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60733-4"},{"key":"2025082713045352000_12.6.e229243.6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1500245"},{"key":"2025082713045352000_12.6.e229243.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2009.10.012"},{"key":"2025082713045352000_12.6.e229243.8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra0801327"},{"key":"2025082713045352000_12.6.e229243.9","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-63-1-137"},{"key":"2025082713045352000_12.6.e229243.10","doi-asserted-by":"crossref","unstructured":"Bac A , Ramadan AS , Youatou P , et al . [Legionnaires' disease complicated by rhabdomyolysis and acute renal failure: about a case]. Pan Afr Med J 2016;24.doi:10.11604\/pamj.2016.24.126.8536","DOI":"10.11604\/pamj.2016.24.126.8536"},{"key":"2025082713045352000_12.6.e229243.11","first-page":"1","article-title":"Severe legionnaires' disease complicated by rhabdomyolysis and clinically resistant to moxifloxacin in a splenectomised patient: too much of a coincidence?","volume":"2015","author":"Koufakis","year":"2015","journal-title":"Case Rep Infect Dis"},{"key":"2025082713045352000_12.6.e229243.12","first-page":"657","article-title":"A case of Legionella pneumonia with multiple organ failure","volume":"41","author":"Li","year":"2016","journal-title":"Zhong Nan Da Xue Bao Yi Xue Ban"},{"key":"2025082713045352000_12.6.e229243.13","first-page":"1","article-title":"Legionnaires\u2019 disease complicated with rhabdomyolysis and acute kidney injury in an AIDS patient","volume":"2017","author":"Seegobin","year":"2017","journal-title":"Case Rep Infect Dis"},{"key":"2025082713045352000_12.6.e229243.14","doi-asserted-by":"crossref","first-page":"399","DOI":"10.5694\/mja15.00611","article-title":"Legionella pneumonia with severe rhabdomyolysis","volume":"203","author":"Shahzad","year":"2015","journal-title":"Med J Aust"},{"key":"2025082713045352000_12.6.e229243.15","first-page":"e78","article-title":"Transient left ventricular dysfunction associated with severe Legionella infection","volume":"3","author":"Suzuki","year":"2011","journal-title":"J Cardiol Cases"},{"key":"2025082713045352000_12.6.e229243.16","doi-asserted-by":"crossref","first-page":"e14","DOI":"10.1097\/MAT.0000000000000197","article-title":"Cytosorb\u2122 in a patient with Legionella pneumonia-associated rhabdomyolysis: a case report","volume":"61","author":"Wiegele","year":"2015","journal-title":"Asaio J"},{"key":"2025082713045352000_12.6.e229243.17","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1097\/00007611-200206000-00018","article-title":"Legionella pneumonia: an unusual cause of rhabdomyolysis and acute renal failure","volume":"95","author":"Kaufman","year":"2002","journal-title":"South Med J"},{"key":"2025082713045352000_12.6.e229243.18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2010.03185.x"},{"key":"2025082713045352000_12.6.e229243.19","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-007-6345-z"},{"key":"2025082713045352000_12.6.e229243.20","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-62703-161-5_2"},{"key":"2025082713045352000_12.6.e229243.21","doi-asserted-by":"publisher","DOI":"10.1086\/510394"},{"key":"2025082713045352000_12.6.e229243.22","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.02675-15"},{"key":"2025082713045352000_12.6.e229243.23","first-page":"388","article-title":"Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia","volume":"141","author":"America Thoracic Society","year":"2005","journal-title":"Am J Respir Crit Care Med"},{"key":"2025082713045352000_12.6.e229243.24","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1718679115"},{"key":"2025082713045352000_12.6.e229243.25","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0189937","article-title":"Distribution of Legionella and bacterial community composition among regionally diverse US cooling towers","volume":"12","author":"Llewellyn","year":"2017","journal-title":"PLoS One"},{"key":"2025082713045352000_12.6.e229243.26","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ153"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229243","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:05:01Z","timestamp":1756325101000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229243"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6]]},"references-count":26,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2019,6,20]]},"published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1136\/bcr-2019-229243"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229243","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6]]}}}