{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T07:14:33Z","timestamp":1768461273851,"version":"3.49.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"780","license":[{"start":{"date-parts":[[1990,10,1]],"date-time":"1990-10-01T00:00:00Z","timestamp":654739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1990,10,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>A case of Legionnaires' disease is described in a 63 year old man who presented with pneumonia and confusion. Eleven days after admission he became acutely hypotensive and attempts at resuscitation failed. Post-mortem examination revealed spontaneous splenic rupture and massive hepatocellular necrosis\u2014an outcome that has not previously been associated with Legionnaires' disease.<\/jats:p>","DOI":"10.1136\/pgmj.66.780.876","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:01:03Z","timestamp":1230584463000},"page":"876-877","source":"Crossref","is-referenced-by-count":6,"title":["Spontaneous rupture of the spleen in Legionnaires' disease"],"prefix":"10.1093","volume":"66","author":[{"given":"A H","family":"Holmes","sequence":"first","affiliation":[{"name":"The Intensive Care Unit, Whittington Hospital , Highgate Hill, London N19, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V W","family":"Ng","sequence":"additional","affiliation":[{"name":"The Intensive Care Unit, Whittington Hospital , Highgate Hill, London N19, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Fogarty","sequence":"additional","affiliation":[{"name":"The Intensive Care Unit, Whittington Hospital , Highgate Hill, London N19, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1990,10,1]]},"reference":[{"issue":"1","key":"ref_1","first-page":"114","article-title":"Legionnaire's disease - A","volume":"1985","author":"Edelstein, P.H.; Meyer, R.D.","unstructured":"Edelstein, P.H. & Meyer, R.D. Legionnaire's disease - A Review. Chest 1985, 1: 114-119.","journal-title":"Review. Chest"},{"key":"ref_2","first-page":"129","article-title":"Legionnaire's disease - A review of the epidemiology and clinical manifestations ofa new recognized infection","volume-title":"Mayo Clin Proc 1980, 55","author":"Keys, T.F.","unstructured":"Keys, T.F. Legionnaire's disease - A review of the epidemiology and clinical manifestations ofa new recognized infection. Mayo Clin Proc 1980, 55: 129-137."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1093\/ajcp\/73.4.488","article-title":"Legionnaire's disease - postmortem pathological findings of 20 cases","volume":"73","author":"Hernandez, F.J.; Kirby, P.D.; Stanley, T.M.; Edelstein, P.H.","year":"1980","unstructured":"Hernandez, F.J., Kirby, P.D., Stanley, T.M. & Edelstein, P.H. Legionnaire's disease - postmortem pathological findings of 20 cases. Am J Clin Pathol 1980, 73: 488-495.","journal-title":"Am J Clin Pathol"},{"key":"ref_4","first-page":"489","article-title":"International symposium on Legionnaires'","volume":"90","author":"Balows, A.","year":"1979","unstructured":"Balows, A. & Fraser, D.W. (eds) International symposium on Legionnaires' disease. Ann Intern Med 1979, 90: 489-703.","journal-title":"disease. Ann Intern Med"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"509","DOI":"10.7326\/0003-4819-90-4-509","article-title":"Legionnaires' disease: clinical features of the epidemic in Philadelphia","volume":"90","author":"Theodore, T.F.; Tsai, M.D.; David, R.","year":"1979","unstructured":"Theodore, T.F., Tsai, M.D., David, R. et al. Legionnaires' disease: clinical features of the epidemic in Philadelphia. Ann Intern Med 1979, 90: 509-577.","journal-title":"Ann Intern Med"},{"key":"ref_6","first-page":"1102","article-title":"The pathology of Legionnaires' disease. Fourteen fatal cases from the 1977 outbreak in Vermont","volume":"1978","author":"Winn, W.C.; Glavin, F.L.; Perl, D.P.","unstructured":"Winn, W.C., Glavin, F.L., Perl, D.P. et al. The pathology of Legionnaires' disease. Fourteen fatal cases from the 1977 outbreak in Vermont. Arch Pathol Lab Med 1978, 1102: 344-350.","journal-title":"Arch Pathol Lab Med"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"297","DOI":"10.7326\/0003-4819-89-3-297","article-title":"Legionnaires' disease: clinical features of24 cases","volume":"89","author":"Kirby, B.D.; Synder, K.M.; Meyer, R.D.","year":"1978","unstructured":"Kirby, B.D., Synder, K.M. & Meyer, R.D. Legionnaires' disease: clinical features of24 cases. Ann Intern Med 1978, 89: 297-309.","journal-title":"Ann Intern Med"},{"key":"ref_8","first-page":"421","article-title":"Textbook ofHaematology","author":"Jandl, J.H.Blood","year":"1987","unstructured":"Jandl, J.H. Blood, Textbook ofHaematology. Little, Brown & Co., Boston, USA, 1987, pp. 421-423."},{"key":"ref_9","first-page":"1497","year":"1977","unstructured":"Kissani, J.M. In: Anderson, W.A.D. (ed.) Pathology, 7th Edition. C.V. Mosby Co., St Louis, USA, 1977, pp. 1497-1499."},{"key":"ref_10","article-title":"Pathological Basis ofDisease, third","author":"Robbins, S.L.; Cottran, R.S.; Kumar, V.","year":"1984","unstructured":"Robbins, S.L., Cottran, R.S. & Kumar, V. Pathological Basis ofDisease, third edition. W.B. Saunders, Philadelphia, 1984."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1007\/BF01297126","article-title":"Cholestatic and hepatocellular injury associated with erythromycin esters?: report of nine cases","volume":"24","author":"Zafram, E.S.; Ishak, E.G.; Rudzki, C.","year":"1979","unstructured":"Zafram, E.S., Ishak, E.G. & Rudzki, C. Cholestatic and hepatocellular injury associated with erythromycin esters?: report of nine cases. Dig Dis Sci 1979, 24: 385-396.","journal-title":"Dig Dis Sci"},{"key":"ref_12","first-page":"94","article-title":"Jaundice in severe bacterial infection","volume":"17","author":"Miller, D.J.; Leeton, G.R.; Webber, B.C.; Saunders, S.S.","year":"1976","unstructured":"Miller, D.J., Leeton, G.R., Webber, B.C. & Saunders, S.S. Jaundice in severe bacterial infection. Gastroenterology 1976, 17: 94-97.","journal-title":"Gastroenterology"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"676","DOI":"10.7326\/0003-4819-90-4-676","article-title":"Immunological protection against Legionnaires' disease bacteria in the AKR\/J mouse","volume":"90","author":"Hedlond, E.W.; McGann, V.G.; Copeland, D.S.","year":"1979","unstructured":"Hedlond, E.W., McGann, V.G., Copeland, D.S. et al. Immunological protection against Legionnaires' disease bacteria in the AKR\/J mouse. Ann Intern Med 1979, 90: 676-679.","journal-title":"Ann Intern Med"},{"key":"ref_14","first-page":"391","article-title":"Bailey's Emergency Surgery, Ilth Edition","volume":"40","author":"Dudley, H.A.F.Hamilton","year":"1986","unstructured":"Dudley, H.A.F. Hamilton Bailey's Emergency Surgery, Ilth Edition. Wright, Bristol, UK, 1986, chapter 40, pp. 391-410."}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/66\/780\/876\/50077330\/postgradmedj-66-876.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/66\/780\/876\/50077330\/postgradmedj-66-876.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T16:56:28Z","timestamp":1682614588000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/66\/780\/876\/7062217"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,10,1]]},"references-count":14,"journal-issue":{"issue":"780","published-online":{"date-parts":[[1990,10,1]]},"published-print":{"date-parts":[[1990,10,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.66.780.876","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1990,10]]},"published":{"date-parts":[[1990,10,1]]}}}