Internal medicine (Tokyo, Japan) · 2016
Rice-Field Drowning-Associated Pneumonia in which Pseudomonas spp., Aspergillus fumigatus, and Cunninghamella sp. Are Isolated.
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Yamawaki Satoshi, Nakashima Kei, Suzuki Fumi, Otsuki Ayumu, Watanabe Junko, Takai Motohisa, Katsurada Masahiro, Katsurada Naoko, Ohkuni Yoshihiro, Misawa Masafumi, Kaneko Norihiro, Otsuka Yoshihito, Aoshima Masahiro
Аннотация
We herein report the case of an 84-year-old who developed pneumonia after drowning in a rice field. Besides Aspergillus fumigatus, many pathogens previously not reported in drowning-associated pneumonia (such as Pseudomonas fluorescens, Pseudomonas putida, Nocardia niigatensis, and Cunninghamella sp.) were isolated from his sputum. He received sulbactam/ampicillin, trimethoprim/sulfamethoxazole, voriconazole, levofloxacin and liposomal amphotericin B, but died due to respiratory failure. Because the patient had drowned in a contaminated stagnant rice field and had multiple lung cavities, zygomycosis was suspected. This report provides invaluable information for the consideration of zygomycosis after an individual drowning in a rice field, even in an immunocompetent patient.