{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T02:40:50Z","timestamp":1794278450909,"version":"4.9.0"},"reference-count":7,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    Rhabdomyolysis is a clinical syndrome characterized by the destruction and disintegration of striated muscle due to various causes such as compression, intense exercise, high fever, medications, and inflammation. This leads to the release of intracellular contents like creatine kinase and myoglobin into the extracellular fluid and bloodstream, resulting in metabolic disturbances, acute kidney injury, and damage to other tissues and organs. Influenza virus or\n                    <jats:italic toggle=\"yes\">Legionella<\/jats:italic>\n                    infection, after the pathogen invades the human body, it can cause systemic inflammatory response syndrome, toxin-mediated myocyte damage, severe hypoxia, and metabolic derangement and acidosis in the body. Legionella pneumonia combined with influenza A exacerbates the infection and collectively induces rhabdomyolysis. At present, there are no reports on rhabdomyolysis caused by coinfection of\n                    <jats:italic toggle=\"yes\">Legionella<\/jats:italic>\n                    and influenza A virus. In this case, we focus on introducing a case of influenza A combined with severe Legionella pneumonia, which eventually developed into rhabdomyolysis and multiple organ dysfunction, thereby filling the gap in this field.\n                  <\/jats:p>","DOI":"10.1177\/2050313x261467831","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T07:03:16Z","timestamp":1785222196000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Rhabdomyolysis caused by severe Legionella pneumonia combined with influenza A"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6521-4866","authenticated-orcid":false,"given":"Zhang","family":"Qi","sequence":"first","affiliation":[{"name":"Department of Neurology, Dalian University, Liaoning Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5307-6932","authenticated-orcid":false,"given":"Zhang","family":"Caiping","sequence":"additional","affiliation":[{"name":"Xinhua Hospital Affiliated to Dalian University, Liaoning Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Neurology, Dalian University, Liaoning Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/cc2978"},{"key":"e_1_3_2_3_2","unstructured":"Chinese Medical Association Respiratory Diseases Branch. Guidelines for the diagnosis and treatment of community-acquired pneumonia in Chinese adults (2016 edition). Chin J Tuberc Respir Dis 2016; 39(4): 253\u2013279. https:\/\/doi.org\/10.3760\/cma.j.issn.1001-0939.2016.04.005"},{"key":"e_1_3_2_4_2","doi-asserted-by":"crossref","unstructured":"Jacob AG George AM John T. Rhabdomyolysis induced renal failure secondary to dual infection with Influenza A and Legionella pneumophilia. Chest 2014; 146: 10\u201315. https:\/\/doi.org\/10.1378\/chest.1995077","DOI":"10.1378\/chest.1995077"},{"key":"e_1_3_2_5_2","doi-asserted-by":"crossref","unstructured":"Sutarjono B Alexis J Sachidanandam JC. Legionella pneumonia complicated by rhabdomyolysis. BMJ Case Rep 2019; 12(6): Article e229243. https:\/\/doi.org\/10.1136\/bcr-2019-229243","DOI":"10.1136\/bcr-2019-229243"},{"key":"e_1_3_2_6_2","doi-asserted-by":"crossref","unstructured":"Prasanna A Palmer J Wang S. Legionnaire\u2019s disease presenting with the Legionella triad (pneumonia rhabdomyolysis and renal failure) and cardiac complications. Cureus 2022; 14(6): Article e26056. https:\/\/doi.org\/10.7759\/cureus.26056","DOI":"10.7759\/cureus.26056"},{"key":"e_1_3_2_7_2","doi-asserted-by":"crossref","unstructured":"Jarczak D Nierhaus A. Cytokine storm \u2013 definition causes and implications. Int J Mol Sci 2022; 23(19): Article 11740. https:\/\/doi.org\/10.3390\/ijms231911740","DOI":"10.3390\/ijms231911740"},{"key":"e_1_3_2_8_2","doi-asserted-by":"crossref","unstructured":"Phin N Parry-Ford F Harrison T et al. Epidemiology and clinical management of Legionnaires\u2019 disease. Lancet Infect Dis 2014; 14: 1011\u20131021. https:\/\/doi.org\/10.1016\/S1473-3099(14)70713-3","DOI":"10.1016\/S1473-3099(14)70713-3"}],"container-title":["Sage Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X261467831","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X261467831","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X261467831","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T07:48:01Z","timestamp":1785484081000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X261467831"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":7,"alternative-id":["10.1177\/2050313X261467831"],"URL":"https:\/\/doi.org\/10.1177\/2050313x261467831","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"2050313X261467831"}}