Abstract:
INTRODUCTION:Aeromonas pneumonia associated with near-drowning, though uncommon, is serious and a major morbidity factor for patients. CLINICAL CASE:A healthy 30-year-old man nearly drowned in a pound. He was admitted to the medical intensive care unit and required intubation and mechanical ventilation. He was given antibiotic therapy in the form of amoxicillin/clavulanic acid. After a brief stable period post immersion, he rapidly developed fever and respiratory failure. The thoracic scan revealed bilateral alveolar infiltrates and led to a fibreoptic bronchoscopy. Aeromonas veroniiandPseudomonas aeruginosa were found on culture of the bronchial aspirate. A change of antibiotic therapy appropriate to these bacteria led to clinical improvement and allowed complete withdrawal of ventilation. CONCLUSION:Rapid respiratory deterioration following near-drowning should raise the suspicion of pulmonary infection with the bacteria usually found in the respiratory tract during ventilation but without overlooking the possibility of unusual organisms, particularly Aeromonas.It is usuallysensitive to third generation cephalosporins and fluoroquinolones. Ideally, Aeromonas should be sought in pulmonary aspirates and samples of the water where immersion occurred.
journal_name
Rev Mal Respirjournal_title
Revue des maladies respiratoiresauthors
Fouquet H,Guimas M,Teulier S,Testaert H,Bergot E,Reviron-Rabec Ldoi
10.1016/j.rmr.2018.08.004subject
Has Abstractpub_date
2018-11-01 00:00:00pages
959-962issue
9eissn
0761-8425issn
1776-2588pii
S0761-8425(18)30265-1journal_volume
35pub_type
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journal_title:Revue des maladies respiratoires
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journal_title:Revue des maladies respiratoires
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journal_title:Revue des maladies respiratoires
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doi:
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journal_title:Revue des maladies respiratoires
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doi:
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journal_title:Revue des maladies respiratoires
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pub_type: 杂志文章,评审
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更新日期:1991-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
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journal_title:Revue des maladies respiratoires
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journal_title:Revue des maladies respiratoires
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journal_title:Revue des maladies respiratoires
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更新日期:2014-04-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2012-10-01 00:00:00