title: [Near-drowning in an adult: favorable course after a 20-minute submersion].
abstract: Cardiopulmonary resuscitation was successful in a healthy 29-year-old woman who had been submerged for 20 minutes in water at 10 degrees C. The evolution was characterized by the development of a multifactorial ARDS (secondary drowning) and sepsis caused by Aeromonas hydrophila and Acinetobacter anitratum. Fibrosing alveolitis caused a restrictive syndrome with severe mechanical impairment and transitory therapy-resistant hypoxemia. It is suggested that prolonged submersion in cold water is also a treatable and completely reversible condition in adults. In our patient without neurological sequelae the pulmonary function studies after 3 months show complete recovery from the mechanical impairment. After a follow-up period of 11 months only mild abnormalities of gas exchange persist.
mesh_terms: D000328:Adult; D002435:Cefamandole / Q000627:therapeutic use; D003080:Cold Temperature; D003586:Cytomegalovirus Infections / Q000209:etiology; D004332:Drowning / Q000150:complications; D005260:Female; D006801:Humans; D000860:Hypoxia / Q000209:etiology; D008168:Lung / Q000000981:diagnostic imaging; D011014:Pneumonia / Q000188:drug therapy; D011175:Positive-Pressure Respiration; D011654:Pulmonary Edema / Q000150:complications; D011658:Pulmonary Fibrosis / Q000209:etiology; D011859:Radiography; D012151:Resuscitation / Q000379:methods*; D014031:Tobramycin / Q000627:therapeutic use; D065227:Transfusion Reaction
chemical_list: D002435:Cefamandole; D014031:Tobramycin
vernacular_title: Beinahe-Ertrinken beim Erwachsenen: günstiger Verlauf nach 20minütiger Submersionszeit.