title: [A case of Legionella pneumonia with multiple organ failure].
abstract: Legionella pneumonia (LP) is a rare systemic infectious disease, which is often misdiagnosed by clinicians due to the atypical symptoms. A middle-aged man who suffered from fever and dyspnea was diagnosed as community acquired pneumonia (CAP) in Changsha Central Hospital in March 2015. The treatment was unsatisfied firstly. The patients showed further symptoms of rhabdomyolysis, acute liver and renal failure, and impaired neural functions, who was diagnosed as LP with multiple organ failure based on a positive test for Legionella antibody. The patient was recovered after treated with moxifloxacin combined with azithromycin and continuous renal replacement therapy. LP should be paid attention when patient was diagnosed as CAP and failed to be treated. The satisfied outcome is achieved after application of macrolide, quinolones and comprehensive treatments.
authors.affiliation: Department of Nephrology, Changsha Central Hospital, Changsha 410018, China.
authors.forename: Jiali
authors.initials: J
authors.lastname: Li
authors.affiliation: Department of Nephrology, Changsha Central Hospital, Changsha 410018, China.
authors.forename: Rui
authors.initials: R
authors.lastname: Wen
authors.affiliation: Department of Nephrology, Changsha Central Hospital, Changsha 410018, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Deng
authors.affiliation: Department of Nephrology, Changsha Central Hospital, Changsha 410018, China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Li
mesh_terms: D000900:Anti-Bacterial Agents; D017714:Community-Acquired Infections; D024841:Fluoroquinolones; D006801:Humans; D007875:Legionella; D007877:Legionnaires' Disease; D008297:Male; D008875:Middle Aged; D000077266:Moxifloxacin; D009102:Multiple Organ Failure; D018410:Pneumonia, Bacterial
chemical_list: D000900:Anti-Bacterial Agents; D024841:Fluoroquinolones; D000077266:Moxifloxacin