title: Rice-Field Drowning-Associated Pneumonia in which Pseudomonas spp., Aspergillus fumigatus, and Cunninghamella sp. Are Isolated.
abstract: We herein report the case of an 84-year-old who developed pneumonia after drowning in a rice field. Besides Aspergillus fumigatus, many pathogens previously not reported in drowning-associated pneumonia (such as Pseudomonas fluorescens, Pseudomonas putida, Nocardia niigatensis, and Cunninghamella sp.) were isolated from his sputum. He received sulbactam/ampicillin, trimethoprim/sulfamethoxazole, voriconazole, levofloxacin and liposomal amphotericin B, but died due to respiratory failure. Because the patient had drowned in a contaminated stagnant rice field and had multiple lung cavities, zygomycosis was suspected. This report provides invaluable information for the consideration of zygomycosis after an individual drowning in a rice field, even in an immunocompetent patient.
authors.affiliation: Department of Pulmonary Medicine, Kameda Medical Center, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yamawaki
authors.forename: Kei
authors.initials: K
authors.lastname: Nakashima
authors.forename: Fumi
authors.initials: F
authors.lastname: Suzuki
authors.forename: Ayumu
authors.initials: A
authors.lastname: Otsuki
authors.forename: Junko
authors.initials: J
authors.lastname: Watanabe
authors.forename: Motohisa
authors.initials: M
authors.lastname: Takai
authors.forename: Masahiro
authors.initials: M
authors.lastname: Katsurada
authors.forename: Naoko
authors.initials: N
authors.lastname: Katsurada
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Ohkuni
authors.forename: Masafumi
authors.initials: M
authors.lastname: Misawa
authors.forename: Norihiro
authors.initials: N
authors.lastname: Kaneko
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Otsuka
authors.forename: Masahiro
authors.initials: M
authors.lastname: Aoshima
mesh_terms: D000369:Aged, 80 and over; D000383:Agriculture; D001232:Aspergillus fumigatus; D020093:Cunninghamella; D006801:Humans; D008297:Male; D015701:Near Drowning / Q000150:complications*; D009615:Nocardia; D012275:Oryza; D011014:Pneumonia / Q000209:etiology* / Q000382:microbiology*; D011551:Pseudomonas fluorescens; D016958:Pseudomonas putida; D012131:Respiratory Insufficiency