Scedosporium aurantiacum brain abscess after near-drowning in a survivor of a tsunami in Japan.
Many victims of the tsunami that occurred following the Great East Japan Earthquake on March 11, 2011 developed systemic disorders owing to aspiration pneumonia. Herein, we report a case of tsunami lung wherein Scedosporium aurantiacum was detected in the respiratory tract. A magnetic resonance image of the patient's head confirmed multiple brain abscesses and lateral right ventricle enlargement. In this case report, we describe a potential refractory multidrug-resistant infection following a tsunami disaster.
Division of Pulmonary Medicine, Allergy, and Rheumatology, Department of Internal Medicine, Iwate Medical University School of Medicine, Morioka, Japan. Electronic address: ICB75097@nifty.com.
Yutaka
Y
Nakamura
Naomi
N
Suzuki
Yoshio
Y
Nakajima
Yu
Y
Utsumi
Okinori
O
Murata
Hiromi
H
Nagashima
Heisuke
H
Saito
Nobuhito
N
Sasaki
Itaru
I
Fujimura
Yoshinobu
Y
Ogino
Kanako
K
Kato
Yasuo
Y
Terayama
Shinya
S
Miyamoto
Kyoko
K
Yarita
Katsuhiko
K
Kamei
Toshihide
T
Nakadate
Shigeatsu
S
Endo
Kazutoshi
K
Shibuya
Kohei
K
Yamauchi
D000368:Aged; D000666:Amphotericin B / Q000008:administration & dosage; D000935:Antifungal Agents / Q000008:administration & dosage; D001922:Brain Abscess / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology* / Q000628:therapy; D020314:Central Nervous System Fungal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D057210:Delayed Diagnosis; D005260:Female; D006801:Humans; D007564:Japan; D008172:Lung Diseases, Fungal / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D008279:Magnetic Resonance Imaging; D015701:Near Drowning / Q000150:complications*; D011743:Pyrimidines / Q000008:administration & dosage; D021681:Scedosporium / Q000302:isolation & purification; D017741:Survivors; D014057:Tomography, X-Ray Computed; D014230:Triazoles / Q000008:administration & dosage; D057192:Tsunamis; D065819:Voriconazole
D000935:Antifungal Agents; D011743:Pyrimidines; D014230:Triazoles; D000666:Amphotericin B; D065819:Voriconazole
BAL; CNS; CSF; CT; F; FLC; L-AMB; M; MCFG; MRI; Near-drowning; PCR; PMX-DHP; Scedosporium apiospermum; Scedosporium aurantiacum; Scedosporium prolificans; Tsunami lung; VRCZ; bronchoalveolar lavage; central nervous system; cerebrospinal fluid; computed tomography; female; fluconazole; liposomal amphotericin B; magnetic resonance imaging; male; micafungin; polymerase chain reaction; polymyxin B-immobilized fiber column direct hemoperfusion; voriconazole