This case involves a patient who died nine months after taking 750mg of Levaquin for five days. The drug was prescribed for a suspected urinary tract infection, urolithiasis, and bronchopneumonia by an advanced nurse practitioner at an urgent care clinic. Though there was some ambiguity over whether the pneumonia may have developed Legionella, the nurse decided to treat is as a brochopneumonia manifestation. The patient was a sixty-six-year-old who had been diagnosed with end-stage renal failure and was on peritoneal dialysis at night. The Levaquin instructions advised caution when prescribing in presence of renal insufficiency and recommended no more than one initial dose of 750mg with subsequent doses of 500mg every forty-eight hours.