Near-drowning-associated Aeromonas pneumonia.
Aeromonas is increasingly recognized as a human pathogen that causes a variety of different infections. Aeromonas has rarely been reported as a cause of respiratory infection, and it has been described in near-drowning-associated pneumonia. This article reviews a case of Aeromonas sobria pneumonia associated with a near drowning and considers the clinical and epidemiological characteristics of 10 previously reported cases. Nearly all of the cases involved young healthy men, a rapid development of pneumonia and sepsis after a brief stable period postimmersion, and bilateral infiltrates on chest radiography. A very high rate of positive blood cultures and mortality was also noted. The epidemiological and clinical data in this review may be helpful to the clinician caring for near-drowning victims. Although prophylactic antibiotics are not recommended for near-drowning victims, broad-spectrum antibiotics should be rapidly instituted with any evidence of infection.
Ender
P T
PT
Department of Infectious Diseases, Wilford Hall Medical Center, Lackland Air Force Base, Texas 78236-5300, USA.
Dolan
M J
MJ
Dolan
D
D
Farmer
J C
JC
Melcher
G P
GP
D000293:Adolescent; D000333:Aeromonas / Q000302:isolation & purification*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017809:Fatal Outcome; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000382:microbiology* / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology; D015701:Near Drowning / Q000150:complications*; D011014:Pneumonia / Q000382:microbiology* / Q000401:mortality / Q000517:prevention & control
D000900:Anti-Bacterial Agents