{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T11:18:34Z","timestamp":1783423114787,"version":"3.54.6"},"reference-count":24,"publisher":"IMR Press","issue":"6","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br. J. Hosp. Med. (Lond)"],"abstract":"<jats:p>Aims\/Background: Computerised tomography findings in patients with Legionella pneumonia usually demonstrate airspace consolidation and\/or ground glass opacities (GGO). Associated necrosis, abscess formation, or cavitation are usually limited to patients who are clearly immunocompromised. Case presentation: We report a recent patient who was immunocompetent, other than controlled type 2 diabetes, and had hospital-acquired severe Legionella pneumonia. The patient was found to have pulmonary necrosis and bacterial co-infection with Acinetobacter. Results: The patient underwent endotracheal intubation and mechanical ventilation, and was treated with intravenous azithromycin and colistin. However, the patient\u2019s condition continued to deteriorate, and she eventually died from multiple organ failure. Conclusion: The unusual appearance of necrotising pneumonia in Legionnaires\u2019 disease patients without frank immunosuppression may signify a co-infection with other microorganisms, which must be sought.<\/jats:p>","DOI":"10.31083\/bjhm55140","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T10:55:28Z","timestamp":1783421728000},"source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Legionella Necrotising Pneumonia in a Diabetic Patient\u2014A Clue to Co-Infection?"],"prefix":"10.31083","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1413-8858","authenticated-orcid":true,"given":"Ami","family":"Schattner","sequence":"first","affiliation":[{"name":"Departments of Medicine, Laniado Hospital, Sanz Medical Centre, 4244916 Netanya, Israel"},{"name":"Adelson School of Medicine, Ariel University, 4070000 Ariel, Israel"},{"name":"Faculty of Medicine, Hebrew University and Hadassah Medical School, 91120 Jerusalem, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ina","family":"Dubin","sequence":"additional","affiliation":[{"name":"Departments of Medicine, Laniado Hospital, Sanz Medical Centre, 4244916 Netanya, Israel"},{"name":"Adelson School of Medicine, Ariel University, 4070000 Ariel, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Livnat","family":"Uliel","sequence":"additional","affiliation":[{"name":"Adelson School of Medicine, Ariel University, 4070000 Ariel, Israel"},{"name":"Departments of Imaging, Laniado Hospital, Sanz Medical Centre, 4244916 Netanya, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16242","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Rello J, Allam C, Ruiz-Spinelli A, Jarraud S. Severe Legionnaires\u2019 disease. Annals of Intensive Care. 2024; 14: 51.","DOI":"10.1186\/s13613-024-01252-y"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Berrington WR, Hawn TR. Human susceptibility to legionnaires\u2019 disease. Methods in Molecular Biology. 2013; 954: 541\u2013551.","DOI":"10.1007\/978-1-62703-161-5_33"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Cooley LA, Pondo T, Francois Watkins LK, Shah P, Schrag S, Active Bacterial Core Surveillance Program of the Emerging Infections Program Network. Population-Based Assessment of Clinical Risk Factors for Legionnaires\u2019 Disease. Clinical Infectious Diseases. 2020; 70: 2428\u20132431.","DOI":"10.1093\/cid\/ciz771"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Cunha BA, Burillo A, Bouza E. Legionnaires\u2019 disease. 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Community-acquired versus nosocomial Legionella pneumonia: factors associated with Legionella-related mortality. 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