{"id":"https://openalex.org/W3018873027","doi":"https://doi.org/10.2169/internalmedicine.4530-20","title":"Fatal Fulminant Legionnaires' Disease in a Patient on Maintenance Hemodialysis","display_name":"Fatal Fulminant Legionnaires' Disease in a Patient on Maintenance Hemodialysis","publication_year":2020,"publication_date":"2020-04-22","ids":{"openalex":"https://openalex.org/W3018873027","doi":"https://doi.org/10.2169/internalmedicine.4530-20","mag":"3018873027","pmid":"https://pubmed.ncbi.nlm.nih.gov/32321897","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7474993"},"language":"en","primary_location":{"id":"doi:10.2169/internalmedicine.4530-20","doi":"https://doi.org/10.2169/internalmedicine.4530-20","is_oa":true,"landing_page_url":"https://doi.org/10.2169/internalmedicine.4530-20","pdf_url":"https://www.jstage.jst.go.jp/article/internalmedicine/59/15/59_4530-20/_pdf","source":{"id":"https://openalex.org/S154471048","display_name":"Internal Medicine","issn_l":"0918-2918","issn":["0918-2918","1349-7235"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313351","host_organization_name":"The Japanese Society of Internal Medicine","host_organization_lineage":["https://openalex.org/P4310313351"],"host_organization_lineage_names":["The Japanese Society of Internal Medicine"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.jstage.jst.go.jp/article/internalmedicine/59/15/59_4530-20/_pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5038452939","display_name":"Akira Kawashima","orcid":"https://orcid.org/0000-0003-0523-7966","observed_orcids":["https://orcid.org/0000-0003-0523-7966"]},"institutions":[{"id":"https://openalex.org/I4210094012","display_name":"National Center for Global Health and Medicine","ror":"https://ror.org/00r9w3j27","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210094012"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akira Kawashima","raw_affiliation_strings":["Department of Nephrology, National Center for Global Health and Medicine, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nephrology, National Center for Global Health and Medicine, Japan","institution_ids":["https://openalex.org/I4210094012"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079104730","display_name":"Daisuke Katagiri","orcid":"https://orcid.org/0000-0003-1395-2644","observed_orcids":["https://orcid.org/0000-0003-1395-2644"]},"institutions":[{"id":"https://openalex.org/I4210094012","display_name":"National Center for Global Health and Medicine","ror":"https://ror.org/00r9w3j27","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210094012"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Daisuke Katagiri","raw_affiliation_strings":["Department of Nephrology, National Center for Global Health and Medicine, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nephrology, National Center for Global Health and Medicine, Japan","institution_ids":["https://openalex.org/I4210094012"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Isao Kondo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210094012","display_name":"National Center for Global Health and Medicine","ror":"https://ror.org/00r9w3j27","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210094012"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Isao Kondo","raw_affiliation_strings":["Department of Nephrology, National Center for Global Health and Medicine, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nephrology, National Center for Global Health and Medicine, Japan","institution_ids":["https://openalex.org/I4210094012"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021997143","display_name":"Emi Sakamoto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210094012","display_name":"National Center for Global Health and Medicine","ror":"https://ror.org/00r9w3j27","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210094012"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Emi Sakamoto","raw_affiliation_strings":["Department of Nephrology, National Center for Global Health and Medicine, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nephrology, National Center for Global Health and Medicine, Japan","institution_ids":["https://openalex.org/I4210094012"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049098593","display_name":"Minami Suzuki","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210094012","display_name":"National Center for Global Health and Medicine","ror":"https://ror.org/00r9w3j27","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210094012"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Minami Suzuki","raw_affiliation_strings":["Department of Nephrology, National Center for Global Health and Medicine, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nephrology, National Center for Global Health and Medicine, Japan","institution_ids":["https://openalex.org/I4210094012"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086228400","display_name":"Yohei Arai","orcid":"https://orcid.org/0009-0002-7458-0266","observed_orcids":["https://orcid.org/0009-0002-7458-0266"]},"institutions":[{"id":"https://openalex.org/I4210094012","display_name":"National Center for Global Health and Medicine","ror":"https://ror.org/00r9w3j27","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210094012"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yohei Arai","raw_affiliation_strings":["Department of Nephrology, National Center for Global Health and Medicine, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nephrology, National Center for Global Health and Medicine, Japan","institution_ids":["https://openalex.org/I4210094012"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Fumie Sato","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210094012","display_name":"National Center for Global Health and Medicine","ror":"https://ror.org/00r9w3j27","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210094012"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Fumie Sato","raw_affiliation_strings":["Department of Nephrology, National Center for Global Health and Medicine, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nephrology, National Center for Global Health and Medicine, Japan","institution_ids":["https://openalex.org/I4210094012"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028976649","display_name":"Manami Tada","orcid":"https://orcid.org/0009-0003-3715-9429","observed_orcids":["https://orcid.org/0009-0003-3715-9429"]},"institutions":[{"id":"https://openalex.org/I4210094012","display_name":"National Center for Global Health and Medicine","ror":"https://ror.org/00r9w3j27","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210094012"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Manami Tada","raw_affiliation_strings":["Department of Nephrology, National Center for Global Health and Medicine, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nephrology, National Center for Global Health and Medicine, Japan","institution_ids":["https://openalex.org/I4210094012"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5009644104","display_name":"Fumihiko Hinoshita","orcid":"https://orcid.org/0000-0001-6895-6787","observed_orcids":["https://orcid.org/0000-0001-6895-6787"]},"institutions":[{"id":"https://openalex.org/I4210094012","display_name":"National Center for Global Health and Medicine","ror":"https://ror.org/00r9w3j27","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210094012"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Fumihiko Hinoshita","raw_affiliation_strings":["Department of Nephrology, National Center for Global Health and Medicine, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nephrology, National Center for Global Health and Medicine, Japan","institution_ids":["https://openalex.org/I4210094012"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210094012"],"apc_list":null,"apc_paid":null,"fwci":0.142,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.34146341,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"59","issue":"15","first_page":"1913","last_page":"1918"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11916","display_name":"Legionella and Acanthamoeba research","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/1310","display_name":"Endocrinology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T11916","display_name":"Legionella and Acanthamoeba research","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/1310","display_name":"Endocrinology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12167","display_name":"Bacterial Identification and Susceptibility Testing","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2726","display_name":"Microbiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/legionnaires-disease","display_name":"Legionnaires' disease","score":0.9890000224113464},{"id":"https://openalex.org/keywords/maintenance-hemodialysis","display_name":"maintenance hemodialysis","score":0.8029999732971191},{"id":"https://openalex.org/keywords/fulminant-pneumonia","display_name":"fulminant pneumonia","score":0.7429999709129333},{"id":"https://openalex.org/keywords/chronic-kidney-disease","display_name":"chronic kidney disease","score":0.8700000047683716},{"id":"https://openalex.org/keywords/anuria","display_name":"anuria","score":0.7990000247955322},{"id":"https://openalex.org/keywords/loop-mediated-isothermal-amplification","display_name":"loop-mediated isothermal amplification","score":0.9399999976158142},{"id":"https://openalex.org/keywords/autopsy-findings","display_name":"autopsy findings","score":0.8840000033378601}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9447103142738342},{"id":"https://openalex.org/C2780295090","wikidata":"https://www.wikidata.org/wiki/Q154882","display_name":"Legionnaires' disease","level":4,"score":0.8966617584228516},{"id":"https://openalex.org/C2781107259","wikidata":"https://www.wikidata.org/wiki/Q5508364","display_name":"Fulminant","level":2,"score":0.894584059715271},{"id":"https://openalex.org/C2778063415","wikidata":"https://www.wikidata.org/wiki/Q391744","display_name":"Hemodialysis","level":2,"score":0.605624794960022},{"id":"https://openalex.org/C2994395758","wikidata":"https://www.wikidata.org/wiki/Q131742","display_name":"Fulminant hepatitis","level":3,"score":0.5900587439537048},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5043412446975708},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.49762609601020813},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.47387930750846863},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.46378955245018005},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.43302780389785767},{"id":"https://openalex.org/C2779504383","wikidata":"https://www.wikidata.org/wiki/Q41482","display_name":"Autopsy","level":2,"score":0.4329404830932617},{"id":"https://openalex.org/C2776118409","wikidata":"https://www.wikidata.org/wiki/Q147885","display_name":"Legionella pneumophila","level":3,"score":0.16090145707130432},{"id":"https://openalex.org/C2776029263","wikidata":"https://www.wikidata.org/wiki/Q131742","display_name":"Hepatitis","level":2,"score":0.08958268165588379},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C523546767","wikidata":"https://www.wikidata.org/wiki/Q10876","display_name":"Bacteria","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D001344","descriptor_name":"Autopsy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006435","descriptor_name":"Renal Dialysis","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007877","descriptor_name":"Legionnaires' Disease","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D007877","descriptor_name":"Legionnaires' Disease","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016952","descriptor_name":"Legionella pneumophila","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D021141","descriptor_name":"Nucleic Acid Amplification Techniques","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D025202","descriptor_name":"Molecular Diagnostic Techniques","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D051436","descriptor_name":"Renal Insufficiency, Chronic","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D051436","descriptor_name":"Renal Insufficiency, Chronic","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.2169/internalmedicine.4530-20","doi":"https://doi.org/10.2169/internalmedicine.4530-20","is_oa":true,"landing_page_url":"https://doi.org/10.2169/internalmedicine.4530-20","pdf_url":"https://www.jstage.jst.go.jp/article/internalmedicine/59/15/59_4530-20/_pdf","source":{"id":"https://openalex.org/S154471048","display_name":"Internal Medicine","issn_l":"0918-2918","issn":["0918-2918","1349-7235"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313351","host_organization_name":"The Japanese Society of Internal Medicine","host_organization_lineage":["https://openalex.org/P4310313351"],"host_organization_lineage_names":["The Japanese Society of Internal Medicine"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal Medicine","raw_type":"journal-article"},{"id":"pmid:32321897","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32321897","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal medicine (Tokyo, Japan)","raw_type":"Case Reports"},{"id":"pmh:oai:pubmedcentral.nih.gov:7474993","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7474993/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Intern Med","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.2169/internalmedicine.4530-20","doi":"https://doi.org/10.2169/internalmedicine.4530-20","is_oa":true,"landing_page_url":"https://doi.org/10.2169/internalmedicine.4530-20","pdf_url":"https://www.jstage.jst.go.jp/article/internalmedicine/59/15/59_4530-20/_pdf","source":{"id":"https://openalex.org/S154471048","display_name":"Internal Medicine","issn_l":"0918-2918","issn":["0918-2918","1349-7235"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313351","host_organization_name":"The Japanese Society of Internal Medicine","host_organization_lineage":["https://openalex.org/P4310313351"],"host_organization_lineage_names":["The Japanese Society of Internal Medicine"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Internal Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3018873027.pdf","grobid_xml":"https://content.openalex.org/works/W3018873027.grobid-xml"},"referenced_works_count":25,"referenced_works":["https://openalex.org/W184798644","https://openalex.org/W1700410790","https://openalex.org/W2010100975","https://openalex.org/W2041781632","https://openalex.org/W2045686302","https://openalex.org/W2069034976","https://openalex.org/W2076525921","https://openalex.org/W2079853453","https://openalex.org/W2098837596","https://openalex.org/W2100140896","https://openalex.org/W2101789679","https://openalex.org/W2111017451","https://openalex.org/W2114680168","https://openalex.org/W2159302853","https://openalex.org/W2166609671","https://openalex.org/W2342687361","https://openalex.org/W2471578140","https://openalex.org/W2592094280","https://openalex.org/W2765235783","https://openalex.org/W2791395549","https://openalex.org/W2927690132","https://openalex.org/W2954466491","https://openalex.org/W3023486036","https://openalex.org/W4211253613","https://openalex.org/W4247647124"],"related_works":["https://openalex.org/W1484077614","https://openalex.org/W2136350498","https://openalex.org/W4385811367","https://openalex.org/W4410272723","https://openalex.org/W2406496672","https://openalex.org/W2564424637","https://openalex.org/W2398406925","https://openalex.org/W2034129533","https://openalex.org/W2423223233","https://openalex.org/W1973286604"],"abstract_inverted_index":{"We":[0,70],"herein":[1],"report":[2],"a":[3,13,23,35],"case":[4],"of":[5,50,63,74],"fulminant":[6],"Legionnaires'":[7,28,64],"disease":[8,21,65],"with":[9,97],"autopsy":[10],"findings":[11],"in":[12,38,57],"patient":[14],"on":[15,44,95],"maintenance":[16],"hemodialysis":[17],"(HD).":[18],"Chronic":[19],"kidney":[20],"is":[22,66],"strong":[24],"risk":[25],"factor":[26],"for":[27,60,89],"disease,":[29],"although":[30],"there":[31],"have":[32],"been":[33],"only":[34],"few":[36],"reports":[37],"HD":[39,45],"patients.":[40],"Because":[41],"most":[42],"patients":[43],"are":[46],"anuric,":[47],"the":[48,61,72,79],"use":[49,73],"rapid":[51],"assay":[52],"kits":[53],"to":[54],"detect":[55],"antigens":[56],"urine":[58],"samples":[59],"diagnosis":[62],"not":[67],"always":[68],"feasible.":[69],"suggest":[71],"clinical":[75],"predictive":[76],"tools":[77],"or":[78],"loop-mediated":[80],"isothermal":[81],"amplification":[82],"(LAMP)":[83],"method,":[84],"which":[85],"can":[86],"be":[87],"applied":[88],"anuric":[90],"patients,":[91],"such":[92],"as":[93],"those":[94],"HD,":[96],"pneumonia.":[98]},"counts_by_year":[{"year":2023,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2020-05-01T00:00:00"}