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A Case of Legionella longbeachae Pneumonia Complicated by Rhabdomyolysis and Acute Renal Failure Requiring Hemodialysis

Clark, Benjamin M. MBChB, MRCP (UK), FRACP, DTM&H*; Boan, Peter MBBS, FRACP; Kulkarni, Hemant A. MD, MRCP (UK), FRACP

Infectious Diseases in Clinical Practice: November 2010 - Volume 18 - Issue 6 - p 413-416
doi: 10.1097/IPC.0b013e3181e85de6
Case Reports

We describe a case of pneumonia due to Legionella longbeachae complicated by rhabdomyolysis and acute renal failure requiring hemodialysis. The infection occurred in a 61-year-old man from Fremantle, Western Australia after exposure to potting mix while gardening. Whereas Legionella pneumophila is a rare but well-described cause of rhabdomyolysis and renal failure, we believe this to be the first case reported in the English language literature caused by L. longbeachae. The case illustrates the ongoing dangers to gardeners in Australia if advised precautions against Legionella infection are not followed.

From the Departments of *Infectious Diseases, Fremantle Hospital, Fremantle and Microbiology and Immunology, University of Western Australia, Perth; Deparments of †Infectious Diseases, Royal Perth Hospital, Perth; and ‡Renal Unit, Fremantle Hospital, Fremantle, WA, Australia.

Correspondence to: Benjamin M. Clark, MBChB, MRCP (UK), FRACP, DTM&H, Department of Infectious Diseases, Fremantle Hospital, Alma St, Fremantle, WA 6160, Australia. E-mail:

The authors have no funding or conflicts of interest to disclose.

© 2010 Lippincott Williams & Wilkins, Inc.