TY  - JOUR
PY  - 2016//
TI  - Rice-field drowning-associated pneumonia in which pseudomonas spp., aspergillus fumigatus, and cunninghamella sp. Are isolated
JO  - Internal medicine
A1  - Yamawaki, Satoshi
A1  - Nakashima, Kei
A1  - Suzuki, Fumi
A1  - Otsuki, Ayumu
A1  - Watanabe, Junko
A1  - Takai, Motohisa
A1  - Katsurada, Masahiro
A1  - Katsurada, Naoko
A1  - Ohkuni, Yoshihiro
A1  - Misawa, Masafumi
A1  - Kaneko, Norihiro
A1  - Otsuka, Yoshihito
A1  - Aoshima, Masahiro
SP  - 825
EP  - 829
VL  - 55
IS  - 7
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0918-2918
UR  - http://dx.doi.org/10.2169/internalmedicine.55.4454
ID  - ref1
ER  -