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Unusual association of diseases/symptoms
CASE REPORT
Legionella pneumonia complicated by rhabdomyolysis
  1. Bayu Sutarjono1,2,
  2. Janeah Alexis1,3 and
  3. Jency Cynthia Sachidanandam1
  1. 1 Internal Medicine, Brookdale University Hospital Medical Center, Brooklyn, New York, USA
  2. 2 Saba University School of Medicine, Devens, Massachusetts, USA
  3. 3 New York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York, USA
  1. Correspondence to Bayu Sutarjono, b.sutarjono{at}saba.edu

Abstract

Legionnaires’ 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 Legionella 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.

  • pneumonia (respiratory medicine)
  • infectious diseases
  • pneumonia (infectious disease)
  • acute renal failure
  • musculoskeletal syndromes

https://doi.org/10.1136/bcr-2019-229243

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    Footnotes

    • Contributors BS: case presentation, investigation, differential diagnosis, treatment, outcome and follow-up. JA: abstract, introduction and discussion. JCS: editing and approval.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.