title: Two cases of severe pneumonia after the 2011 Great East Japan Earthquake.
abstract: In 2011, during the Great East Japan Earthquake and tsunami, 90% of victims died from drowning. We report on two tsunami survivors with severe pneumonia potentially caused by Legionella pneumophila. Both victims aspirated a large quantity of contaminated water; sand, mud and a variety of microbes were thought to have entered into their lower respiratory tracts. One patient had a mycotic intracranial aneurysm; the other patient had co-infections with several organisms, including Scedosporium species. Although scedosporiosis is a relatively rare infectious disease, symptoms are progressive and prognosis is poor. These pathogens are not specific for tsunami lung, but are reported causative agents for pneumonia after near-drowning.
authors.affiliation: Department of Critical Care Medicine, Department of Respiratory Medicine, Iwate Medical University, Uchimar 19-1, Morioka, Iwate, Japan .
authors.forename: Toshihide
authors.initials: T
authors.lastname: Nakadate
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Nakamura
authors.forename: Kohei
authors.initials: K
authors.lastname: Yamauchii
authors.forename: Shigeatu
authors.initials: S
authors.lastname: Endo
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