A challenging case of invasive pulmonary aspergillosis after near-drowning: a case report and literature review.
| dc.contributor.author | Jenks, Jeffrey D | |
| dc.contributor.author | Preziosi, Michael | |
| dc.date.accessioned | 2023-08-01T18:02:25Z | |
| dc.date.available | 2023-08-01T18:02:25Z | |
| dc.date.issued | 2015-09 | |
| dc.date.updated | 2023-08-01T18:02:24Z | |
| dc.description.abstract | Near-drowning, a relatively common event, is often complicated by subsequent pneumonia. While endogenous and exogenous bacteria are typical pathogens, rarely fungi are as well. We report a complicated case of invasive pulmonary aspergillosis in a 30-year-old man after a near-drowning event. We also review the medical literature for similar cases. All cases of invasive pulmonary aspergillosis after near-drowning reported in the literature involve Aspergillus fumigatus. The majority of cases involved submersion in stagnant water after a motor vehicle accident (MVA). Treatment varied considerably, with amphotericin B used in the majority of cases. Morbidity was considerable with prolonged hospitalization occurring in every case, and mortality occurring in fifty percent of the reported cases. Although a rare complication of near-drowning, invasive pulmonary aspergillosis can occur and lead to significant morbidity and mortality. After near-drowning A. fumigatus isolated from the respiratory tract should be assumed to be a true pathogen and treated accordingly. | |
| dc.identifier.issn | 1056-9103 | |
| dc.identifier.issn | 1536-9943 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Ovid Technologies (Wolters Kluwer Health) | |
| dc.relation.ispartof | Infectious diseases in clinical practice (Baltimore, Md.) | |
| dc.relation.isversionof | 10.1097/ipc.0000000000000263 | |
| dc.subject | Aspergillus fumigatus | |
| dc.subject | invasive pulmonary aspergillosis | |
| dc.subject | near-drowning | |
| dc.title | A challenging case of invasive pulmonary aspergillosis after near-drowning: a case report and literature review. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Jenks, Jeffrey D|0000-0001-6632-9587 | |
| pubs.begin-page | 227 | |
| pubs.end-page | 230 | |
| pubs.issue | 5 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Medicine | |
| pubs.organisational-group | Medicine, Infectious Diseases | |
| pubs.publication-status | Published | |
| pubs.volume | 23 |