[Legionnaires' disease complicated by rhabdomyolysis and acute renal failure: about a case].

Legionnaires' disease is a bacterial disease of the respiratory system caused by a gram-negative germ whose clinical manifestation can be benign limiting to flu-like syndrome or can be more severe being characterized by pneumonia which may be complicated by multisystem disease that can lead to death. We report the case of a 48 year-old patient with rhabdomyolysis complicated by acute renal failure following Legionella pneumophila pneumonia. We here highlight the pathophysiological aspects and treatment of this rare complication during Legionella infection.

[Coordinating home assistance and nursing care for global patient management].

Enabling patients to remain in their home is only possible when the different services, both from within and outside the hospital are able to communicate and when the recommended actions are properly coordinated. Entrusting the coordination of the care to the Spasad (polyvalent service for home assistance and nursing care) enables the expectations of the patients and family carers to be analysed. This allows the team to put in place the appropriate actions both in terms of assistance and nursing care.

[Coordination for a successful return home].

The organisation of the return home of a dependent person is an important stage in their care. Good coordination between the different healthcare and social professionals enable their needs to be assessed in order for adapted solutions to be offered. In this global approach, the teams take into account not only the patient in their living environment but also their family carer.