@article{ref1,
title="A challenging case of invasive pulmonary aspergillosis after near-drowning: a case report and literature review",
journal="Infectious diseases in clinical practice (Baltimore)",
year="2015",
author="Jenks, Jeffrey D. and Preziosi, Michael",
volume="23",
number="5",
pages="227-230",
abstract="Near-drowning, a relatively common event, is often complicated by subsequent pneumonia. While endogenous and exogenous bacteria are typical pathogens, rarely fungi are as well. We report a complicated case of invasive pulmonary aspergillosis in a 30-year-old man after a near-drowning event. We also review the medical literature for similar cases. All cases of invasive pulmonary aspergillosis after near-drowning reported in the literature involve Aspergillus fumigatus. The majority of cases involved submersion in stagnant water after a motor vehicle accident (MVA). Treatment varied considerably, with amphotericin B used in the majority of cases. Morbidity was considerable with prolonged hospitalization occurring in every case, and mortality occurring in fifty percent of the reported cases. Although a rare complication of near-drowning, invasive pulmonary aspergillosis can occur and lead to significant morbidity and mortality. After near-drowning A. fumigatus isolated from the respiratory tract should be assumed to be a true pathogen and treated accordingly.<p /> <p>Language: en</p>",
language="en",
issn="1056-9103",
doi="10.1097/IPC.0000000000000263",
url="http://dx.doi.org/10.1097/IPC.0000000000000263"
}