Spontaneous rupture of the spleen associated with Legionella pneumonia.

Spontaneous rupture of the spleen associated with Legionella pneumonia is a rare and life-threatening complication; only three cases have been reported to date. The authors describe a case of a 47-year-old man who presented with pneumonia and abdominal pain. He underwent a splenectomy, and was successfully treated with clarithromycin and levofloxacin.

Outcome prediction in terms of functional disability and mortality at 1 year among ICU-admitted severe stroke patients: a prospective epidemiological study in the south of the European Union (Evascan Project, Andalusia, Spain).

Objectives: To analyse 1-year mortality and functional disability outcomes and resource use in critical stroke patients admitted to ICU.

Design And Setting: Multi-centre, prospective, observational study in 28 Spanish hospitals. PATIENTS.