Case Report

Severe Legionnaires’ Disease Complicated by Rhabdomyolysis and Clinically Resistant to Moxifloxacin in a Splenectomised Patient: Too Much of a Coincidence?

Table 1

Patient’s main laboratory findings on admission and discharge, as well as maximum values observed during hospitalization. Interestingly, the decrease in number of WBC was observed after initiation of azithromycin on day 7, suggesting a probable Legionella resistance to moxifloxacin.

Parameter in blood (units)AdmissionMaximum value during hospitalization (day)Discharge

White blood cell (103/μL)18.124.5 (7)13.2
Creatine phosphokinase (IU/L)3437182026 (3)150
Creatinine (mg/dL)1.8510.0 (7)0.95
Urea (mg/dL)62195 (7)26