{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T15:10:10Z","timestamp":1745766610172,"version":"3.40.4"},"reference-count":15,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>In August 2009, during the swine flu pandemic, a 55-year-old male presented to the Emergency Department (ED) with shortness-of-breath and chest pain. He had experienced diarrhoea and vomiting during the 3 weeks preceding admission, and so had sought the advice of his General Practitioner (GP) who had prescribed a course of oseltamivir (Tamiflu). Despite this, his symptoms had worsened, and on arrival in the ED he was found to be tachypnoeic, tachycardic, feverish, anuric and in type I respiratory failure with a compensated metabolic acidosis. He subsequently became hypotensive, and so was transferred to the Intensive Care Unit (ICU) for supportive treatment of three organ failures.<\/jats:p><jats:p>Investigation revealed that he was suffering from Legionnaires disease. This required a prolonged inpatient stay owing to both disease and treatment related complications.<\/jats:p>","DOI":"10.1136\/bcr.12.2010.3587","type":"journal-article","created":{"date-parts":[[2011,5,12]],"date-time":"2011-05-12T17:15:00Z","timestamp":1305220500000},"page":"bcr1220103587","source":"Crossref","is-referenced-by-count":2,"title":["Management of<i>Legionella<\/i>in the intensive care setting"],"prefix":"10.1136","volume":"2011","author":[{"given":"Nicholas John","family":"Harris","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Claire Victoria","family":"Harris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Spiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,5,12]]},"reference":[{"key":"2025042707335530000_2011.may10_1.bcr1220103587.1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.117.2.398"},{"key":"2025042707335530000_2011.may10_1.bcr1220103587.2","unstructured":"Health Protection Agency. Legionnaire\u2019s Disease: Epidemiological Data. London: Health Protection Agency, 2010. http:\/\/www.hpa.org.uk\/web\/HPAweb&HPAwebStandard\/HPAweb_C\/1195733748327 (accessed 14 November 2010)."},{"key":"2025042707335530000_2011.may10_1.bcr1220103587.3","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.97.10071530"},{"key":"2025042707335530000_2011.may10_1.bcr1220103587.4","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.121434"},{"key":"2025042707335530000_2011.may10_1.bcr1220103587.5","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.156.5.97-04039"},{"key":"2025042707335530000_2011.may10_1.bcr1220103587.6","doi-asserted-by":"publisher","DOI":"10.1086\/428059"},{"key":"2025042707335530000_2011.may10_1.bcr1220103587.7","unstructured":"World Health Organisation. Legionellosis, Fact Sheet No 285. 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