Extreme Rhabdomyolysis, Acute Renal Failure, and Protracted Ileus in a Case of Legionella Pneumonia
A 53-year-old man developed a Legionella pneumophila pneumonia complicated by rhabdomyolysis, acute kidney injury, and protracted ileus. Risk factors were smoking and chronic alcoholism, but the patient had no history of previous abdominal surgery. Hemodialysis was required for a period of 5 weeks w...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2019/3472627 |
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| author | C. Laivier M.-O. Bleuze P. Hantson J. Devos |
| author_facet | C. Laivier M.-O. Bleuze P. Hantson J. Devos |
| author_sort | C. Laivier |
| collection | DOAJ |
| description | A 53-year-old man developed a Legionella pneumophila pneumonia complicated by rhabdomyolysis, acute kidney injury, and protracted ileus. Risk factors were smoking and chronic alcoholism, but the patient had no history of previous abdominal surgery. Hemodialysis was required for a period of 5 weeks with a full renal recovery. Pneumonia required respiratory support but for a limited period of 6 days. The protracted course of the ileus led to explorative laparotomy despite negative computed tomography findings. No cause of mechanical obstruction was found at surgery and common etiologies of intestinal obstruction were excluded. Parenteral nutrition was needed for a total of 4 weeks, before recovery of intestinal motility. This case illustrates the apparent discrepancy between the pulmonary symptoms and the extrapulmonary manifestations that could be seen as a consequence of an exaggerated immune response. |
| format | Article |
| id | doaj-art-28cd972918604e0caec5114d21fa0648 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-28cd972918604e0caec5114d21fa06482025-02-03T01:24:15ZengWileyCase Reports in Critical Care2090-64202090-64392019-01-01201910.1155/2019/34726273472627Extreme Rhabdomyolysis, Acute Renal Failure, and Protracted Ileus in a Case of Legionella PneumoniaC. Laivier0M.-O. Bleuze1P. Hantson2J. Devos3Department of Intensive Care, Centre Hospitalier de Mouscron, 7700 Mouscron, BelgiumDepartment of Pneumology, Centre Hospitalier de Mouscron, 7700 Mouscron, BelgiumDepartment of Intensive Care, Cliniques St-Luc, Université catholique de Louvain, 1200 Brussels, BelgiumDepartment of Intensive Care, Centre Hospitalier de Mouscron, 7700 Mouscron, BelgiumA 53-year-old man developed a Legionella pneumophila pneumonia complicated by rhabdomyolysis, acute kidney injury, and protracted ileus. Risk factors were smoking and chronic alcoholism, but the patient had no history of previous abdominal surgery. Hemodialysis was required for a period of 5 weeks with a full renal recovery. Pneumonia required respiratory support but for a limited period of 6 days. The protracted course of the ileus led to explorative laparotomy despite negative computed tomography findings. No cause of mechanical obstruction was found at surgery and common etiologies of intestinal obstruction were excluded. Parenteral nutrition was needed for a total of 4 weeks, before recovery of intestinal motility. This case illustrates the apparent discrepancy between the pulmonary symptoms and the extrapulmonary manifestations that could be seen as a consequence of an exaggerated immune response.http://dx.doi.org/10.1155/2019/3472627 |
| spellingShingle | C. Laivier M.-O. Bleuze P. Hantson J. Devos Extreme Rhabdomyolysis, Acute Renal Failure, and Protracted Ileus in a Case of Legionella Pneumonia Case Reports in Critical Care |
| title | Extreme Rhabdomyolysis, Acute Renal Failure, and Protracted Ileus in a Case of Legionella Pneumonia |
| title_full | Extreme Rhabdomyolysis, Acute Renal Failure, and Protracted Ileus in a Case of Legionella Pneumonia |
| title_fullStr | Extreme Rhabdomyolysis, Acute Renal Failure, and Protracted Ileus in a Case of Legionella Pneumonia |
| title_full_unstemmed | Extreme Rhabdomyolysis, Acute Renal Failure, and Protracted Ileus in a Case of Legionella Pneumonia |
| title_short | Extreme Rhabdomyolysis, Acute Renal Failure, and Protracted Ileus in a Case of Legionella Pneumonia |
| title_sort | extreme rhabdomyolysis acute renal failure and protracted ileus in a case of legionella pneumonia |
| url | http://dx.doi.org/10.1155/2019/3472627 |
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