Tsunami Lung in Great East Japan Earthquake 2011: Clinical Time Course, Feature, Pathogenesis, and Treatment

  • Kohei YamauchiEmail author
  • Hiromi Nagashima
  • Toshihide Nakadate
  • Yutaka Nakamura
Part of the Respiratory Disease Series: Diagnostic Tools and Disease Managements book series (RDSDTDM)


Drowning was the cause of death in almost all victims of the Great East Japan Earthquake Tsunami (GEJET). People who experienced near-drowning suffered from Tsunami lung afterward. Tsunami lung is initiated by the aspiration of a vast amount of sea water including sand, sludge from the sea bottom, small pieces of wood, petroleum, and undefined chemicals. Physical and chemical insults on the pulmonary tissues can cause ARDS. Subsequently, pulmonary complications by infection with microorganisms occur. The pneumonia in Tsunami lung caused by multiple pathogens including fungi was often refractory to treatment. In GEJET, Scedosporium species were one of the pathogens identified in patients with Tsunami lung.


Tsunami lung Drowning ARDS Aspiration pneumonia Scedosporium Great East Japan Earthquake 



The authors are grateful to Mr. Brent Bell for critical reading of the manuscript.


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Kohei Yamauchi
    • 1
    • 2
    Email author
  • Hiromi Nagashima
    • 1
  • Toshihide Nakadate
    • 1
  • Yutaka Nakamura
    • 3
  1. 1.Division of Pulmonary Medicine, Allergy and Rheumatology, Department of Internal MedicineIwate Medical University School of MedicineMoriokaJapan
  2. 2.Central Takizawa HospitalTakizawaJapan
  3. 3.Department of Allergy and Rheumatology, Nippon Medical SchoolGraduate School of MedicineTokyoJapan

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