title: Spontaneous rupture of the spleen in Legionnaires' disease.
abstract: 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--an outcome that has not previously been associated with Legionnaires' disease.
authors.affiliation: Intensive Care Unit, Whittington Hospital, Highgate Hill, London, UK.
authors.forename: A H
authors.initials: AH
authors.lastname: Holmes
authors.forename: V W
authors.initials: VW
authors.lastname: Ng
authors.forename: P
authors.initials: P
authors.lastname: Fogarty
mesh_terms: D006801:Humans; D007877:Legionnaires' Disease / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D013161:Splenic Rupture / Q000209:etiology* / Q000473:pathology; D013163:Splenomegaly / Q000473:pathology