Late-onset miliary pneumonitis after near drowning.
We report a 7-year-old pediatric patient with an apparently self-limiting, subacute miliary pneumonitis that occurred 6 weeks after a near-drowning accident in shallow, muddy water. After biopsy, histological examination revealed aspirated foreign bodies (algae and pollen grains) in the affected lung areas and a foreign body reaction in the form of a granulomatous inflammation. The lack of any detectable infectious agents suggested a causative role of these aspirated algae and pollen grains in the development of lung disease.
Mangge
H
H
Department of Pediatrics (Respiratory and Allergic Disease Division), School of Medicine, University of Graz, Austria.
Plecko
B
B
Grubbauer
H M
HM
Popper
H
H
Smolle-Jüttner
F
F
Zach
M
M
D001706:Biopsy; D002648:Child; D017377:Diatoms; D015745:Granuloma, Foreign-Body / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D015701:Near Drowning / Q000150:complications*; D011015:Pneumonia, Aspiration / Q000175:diagnosis / Q000209:etiology*; D011058:Pollen; D011859:Radiography; D013997:Time Factors