Intensive Care Medicine

, Volume 10, Issue 4, pp 203–204

Invasive pulmonary aspergillosis after near-drowning

  • D. F. Vieira
  • H. K. F. Van Saene
  • D. R. Miranda
Case Reports

Abstract

After near-drowning following a car accident, a 27-year-old man developed servere ARDS. Six days later Aspergillus fumigatus was isolated in his sputum, and invasive pulmonary aspergillosis developed thereafter. Aspergillus titre increased, and chest tomograms revealed cavities in both lungs. The treatment consisted essentially of Amphotericin B and 5 fluorocytosine, intravenously and by inhalation, intensive postural drainage and mechnical ventilation with PEEP. After 41 days he was cured and discharged from the ICU. Six months later he returned to his job and clinical examination was normal.

Key words

Near-drowning Aspergillosis Respiratory failure 

References

  1. 1.
    Fisher JF, Shadomy S, Teabeaut JR, Woodward Y, Michaelis GE, Newman MA, White E, Cook P, Seagraves A, Yaghmai F, Rissing JP (1982) Near drowning complicated by brain abcess due to letrillidum boydii. Arch Neurol 39:511–513PubMedGoogle Scholar
  2. 2.
    Jones Garret EB (1976) Recent advances in aquatic mycology. Elke Science, LondonGoogle Scholar
  3. 3.
    Pennington JE (1980) Symposium on infectious lung diseases. Med Clin North Am 64:3Google Scholar
  4. 4.
    Stoutenbeek ChP, Van Saene HKF, Miranda DR, Zandstra DF (1983) A new technique of infection prevention in the ICU by selective decontamination of the digestive tract. Acta Anaesthiol Belg 1Google Scholar
  5. 5.
    Van der Vliet JA, Tidow F, Kootstra G, Van Saene HKF, Krom RAF, Sloof MJH, Weening JJ, Tegzess AM, Meijer S, Van Boven WPL (1980) Transplantation of contaminated organs. Br J Surg 67:596–598PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • D. F. Vieira
    • 1
  • H. K. F. Van Saene
    • 2
  • D. R. Miranda
    • 1
  1. 1.Department of Anaesthesiology and Intensive CareUniversity HospitalGroningenThe Netherlands
  2. 2.Department of Clinical BacteriologyUniversity HospitalGroningenThe Netherlands
  3. 3.Department of AnaesthesiaHospitais Civis deLisboaPortugal

Personalised recommendations