Invasive pulmonary aspergillosis after near-drowning
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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 wordsNear-drowning Aspergillosis Respiratory failure
- 2.Jones Garret EB (1976) Recent advances in aquatic mycology. Elke Science, LondonGoogle Scholar
- 3.Pennington JE (1980) Symposium on infectious lung diseases. Med Clin North Am 64:3Google Scholar
- 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