TY - JOUR A2 - Lenz, Kurt AU - Laivier, C. AU - Bleuze, M.-O. AU - Hantson, P. AU - Devos, J. PY - 2019 DA - 2019/01/29 TI - Extreme Rhabdomyolysis, Acute Renal Failure, and Protracted Ileus in a Case of Legionella Pneumonia SP - 3472627 VL - 2019 AB - 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. SN - 2090-6420 UR - https://doi.org/10.1155/2019/3472627 DO - 10.1155/2019/3472627 JF - Case Reports in Critical Care PB - Hindawi KW - ER -