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Journal Article

Citation

Yamawaki S, Nakashima K, Suzuki F, Otsuki A, Watanabe J, Takai M, Katsurada M, Katsurada N, Ohkuni Y, Misawa M, Kaneko N, Otsuka Y, Aoshima M. Intern. Med. 2016; 55(7): 825-829.

Affiliation

Department of Pulmonary Medicine, Kameda Medical Center, Japan.

Copyright

(Copyright © 2016, Japanese Society of Internal Medicine)

DOI

10.2169/internalmedicine.55.4454

PMID

27041173

Abstract

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.


Language: en

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