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

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

Abstract

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.

Keywords

Tsunami lung Drowning ARDS Aspiration pneumonia Scedosporium Great East Japan Earthquake 

Notes

Acknowledgment

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

References

  1. 1.
    Potera C. In disaster’s wake: tsunami lung. Environ Health Perspect. 2005;113:A734.CrossRefGoogle Scholar
  2. 2.
    Kongsaengdao S, Bunnag S, Siriwiwattnakul N. Treatment of survivors after the tsunami. N Engl J Med. 2005;352:2654–5.CrossRefGoogle Scholar
  3. 3.
    Allworth AM. Tsunami lung: a necrotising pneumonia in survivors of the Asian tsunami. Med J Aust. 2005;182:364.PubMedGoogle Scholar
  4. 4.
    Nakamura Y, Suzuki N, Nakajima Y, Utsumi Y, Murata O, Nagashima H, Saito H, Sasaki N, Fujimura I, Ogino Y, Kato K, Terayama Y, Miyamoto S, Yarita K, Kamei K, Nakadate T, Endo S, Shibuya K, Yamauchi K. Scedosporium aurantiacum brain abscess after near-drowning in a survivor of a tsunami in Japan. Respir Investig. 2013;51:207–11.CrossRefGoogle Scholar
  5. 5.
    Hiruma T, Nakamura K, Inokuchi R, Kurata H, Gunshin M, Matsubara T, Ishii T, Nakajima S, Yahagi N, Shinohara K. Tsunami lung accompanied by multiple disorders. Am J Respir Crit Care Med. 2013;187:110–1.CrossRefGoogle Scholar
  6. 6.
    Nukiwa T. An overview of respiratory medicine during the Tsunami Disaster at Tohoku, Japan, on March 11, 2011. Respir Investig. 2012;50:124–8.CrossRefGoogle Scholar
  7. 7.
    Nakamura Y, Utsumi Y, Suzuki N, Nakajima Y, Murata O, Sasaki N, Nitanai H, Nagashima H, Miyamoto S, Yaegashi J, Hatakeyama T, Shibano Y, Yarita K, Kamei K, Nakadate T, Endo S, Terayama Y, Yamauchi K. Multiple Scedosporium apiospermum abscesses in a woman survivor of a tsunami in northeastern Japan: a case report. J Med Case Rep. 2011;5:526.CrossRefGoogle Scholar
  8. 8.
    Nakadate T, Nakamura Y, Yamauchii K, Endo S. Two cases of severe pneumonia after the 2011 Great East Japan Earthquake. Western Pac Surveill Response J. 2012;3:67–70.PubMedPubMedCentralGoogle Scholar
  9. 9.
    Rosenbaum HT, Thompson WL, Fuller RH. Radiographic pulmonary changes in near-drowning. Radiology. 1964;83:306–12.CrossRefGoogle Scholar
  10. 10.
    Hasan S, Avery WG, Fabian C, Sackner MA. Near drowning in humans, a report of 36 patients. Chest. 1971;159:191–7.CrossRefGoogle Scholar
  11. 11.
    Hunter TB, Whitehouse WM. Fresh-water near-drowning: radiological aspects. Radiology. 1974;112:51–6.CrossRefGoogle Scholar
  12. 12.
    Putman CE, Tummillo AM, Myerson DA. Drowning: another plunge. Am J Roentgenol. 1975;125:543–8.CrossRefGoogle Scholar
  13. 13.
    Bonilla-Santiago J, Fill WL. Sand aspiration in drowning and near drowning. Radiology. 1978;128:301–2.CrossRefGoogle Scholar
  14. 14.
    Chierakul W, Winothai W, Wattanawaitunechai C, Wuthiekanun V, Rugtaengan T, Rattanalertnavee J, Jitpratoom P, Chaowagul W, Singhasivanon P, White NJ, Day NP, Peacock SJ. Melioidosis in 6 tsunami survivors in southern Thailand. Clin Infect Dis. 2005;41:982–90.CrossRefGoogle Scholar
  15. 15.
    Gilgado F, Gené J, Cano J, Guarro J. Heterothallism in Scedosporium apiospernum and description of its teleomorph Pseudallescheria apiosperma sp. nov. Med Mycol. 2010;48:122–8.CrossRefGoogle Scholar
  16. 16.
    Fisher JF, Shadomy S, Teabeaut JR, Woodward J, Michaels GE, Newman MA, White E, Cook P, Seagraves A, Yaghmai F, Rissing JP. Near-drowning complicated by brain abscess due to Petriellidium boydii. Arch Neurol. 1982;39:511–3.CrossRefGoogle Scholar
  17. 17.
    Hachimi-Idrissi S, Willemsen M, Desprechins B, Naessens A, Goossens A, De Meirleir L, Ramet J. Pseudallescheria boydii and brain abscesses. Pediatr Infect Dis J. 1990;9:737–41.CrossRefGoogle Scholar
  18. 18.
    Perfect JR, Marr KA, Walsh TJ, Greenberg RN, DuPont B, de la Torre-Cisneros J, Just-Nübling G, Schlamm HT, Lutsar I, Espinel-Ingroff A, Johnson E. Voriconazole treatment for less-common, emerging, or refractory fungal infections. Clin Infect Dis. 2003;36:1122–31.CrossRefGoogle Scholar
  19. 19.
    Schwartz S, Reisman A, Troke PF. The efficacy of voriconazole in the treatment of 192 fungal central nervous system infections: a retrospective analysis. Infection. 2011;39:201–10.CrossRefGoogle Scholar
  20. 20.
    Espinel-Ingroff A, Johnson E, Hockey H, Troke P. Activities of voriconazole, itraconazole and amphotericin B in vitro against 590 moulds from 323 patients in the voriconazole phase III clinical studies. J Antimicrob Chemother. 2008;61:616–20.CrossRefGoogle Scholar
  21. 21.
    Elter T, Sieniawski M, Gossmann A, Wickenhauser C, Schröder U, Seifert H, Kuchta J, Burhenne J, Riedel KD, Fätkenheuer G, Cornely OA. Voriconazole brain tissue levels in rhinocerebral aspergillosis in a successfully treated young woman. Int J Antimicrob Agents. 2006;28:262–5.CrossRefGoogle Scholar
  22. 22.
    Meletiadis J, Meis JF, Mouton JW, Rodriquez-Tudela JL, Donnelly JP, Verweij PE. EUROFUNG Network: in vitro activities of new and conventional antifungal agents against clinical Scedosporium isolates. Antimicrob Agents Chemother. 2002;46:62–8.CrossRefGoogle Scholar
  23. 23.
    Cuenca-Estrella M, Gomez-Lopez A, Mellado E, Buitrago MJ, Monzon A, Rodriguez-Tudela JL. Head-to-head comparison of the activities of currently available antifungal agents against 3,378 Spanish clinical isolates of yeasts and filamentous fungi. Antimicrob Agents Chemother. 2006;50:917–21.CrossRefGoogle Scholar
  24. 24.
    Katragkou A, Dotis J, Kotsiou M, Tamiolaki M, Roilides E. Scedosporium apiospermum infection after near-drowning. Mycoses. 2007;50:412–21.CrossRefGoogle Scholar
  25. 25.
    Troke P, Aguirrebengoa K, Arteaga C, Ellis D, Heath CH, Lutsar I, Rovira M, Nguyen Q, Slavin M, Chen SC. Global Scedosporium Study Group: treatment of Scedosporiosis with voriconazole: clinical experience with 107 patients. Antimicrob Agents Chemother. 2008;52:1743–50.CrossRefGoogle Scholar
  26. 26.
    Walsh TJ, Peter J, McGough DA, Fothergill AW, Rinaldi MG, Pizzo PA. Activities of amphotericin B and antifungal azoles alone and in combination against Pseudallescheria boydii. Antimicrob Agents Chemother. 1995;39:1361–4.CrossRefGoogle Scholar
  27. 27.
    Rodríguez MM, Calvo E, Serena C, Mariné M, Pastor FJ, Guarro J. Effects of double and triple combinations of antifungal drugs in a murine model of disseminated infection by Scedosporium prolificans. Antimicrob Agents Chemother. 2009;53:2153–5.CrossRefGoogle Scholar
  28. 28.
    Kateruttanakul P, Paovilai W, Kongsaengdao S, Bunnag S, Atipornwanich K, Siriwatanakul N. Respiratory complication of tsunami victims in Phuket and Phang Nga. J Med Assoc Thail. 2005;88:754–8.Google Scholar
  29. 29.
    Yorsaengrat W, Chungpaibulpatana J, Tunki B, Pauvilai W, Kititornkul S, Suntong B. Respiratory complication of tsunami disaster victims in Vachira Phuket Hospital. J Med Assoc Thail. 2006;89:518–21.Google Scholar
  30. 30.
    Hoshino H, Watanabe H, Saitoh Y, Shibuya Y, Koba H, Abe S. A case of sea water and sand aspiration during near drowning. J Jpn Respir Soc. 1998;36:306–10. (in Japanese)Google Scholar
  31. 31.
    Phares CR, Wangroongsarb P, Chantra S, Paveenkitiporn W, Tondella ML, Benson RF, Thacker WL, Fields BS, Moore MR, Fischer J, Dowell SF, Olsen SJ. Epidemiology of severe pneumonia caused by Legionella longbeachae, Mycoplasma pneumoniae, and Chlamydia pneumoniae: 1-year, population-based surveillance for severe pneumonia in Thailand. Clin Infect Dis. 2007;45:e147–55.CrossRefGoogle Scholar
  32. 32.
    Athan E, Allworth AM, Engler C, Bastian I, Cheng AC. Melioidosis in tsunami survivors. Emerg Infect Dis. 2005;11:1638–9.CrossRefGoogle Scholar
  33. 33.
    Othman N, Ismail IH, Yip R, Zainuddin Z, Kasim SM, Isa R, Noh LM. Infections in post-tsunami victims. Pediatr Infect Dis J. 2007;26:960–1.CrossRefGoogle Scholar
  34. 34.
    Ebisawa K, Yamada N, Okada S, Suzuki Y, Satoh A, Kobayashi M, Morikawa N. Combined Legionella and Escherichia coli lung infection after a tsunami disaster. Intern Med. 2011;50:2233–6.CrossRefGoogle Scholar
  35. 35.
    Shiota R, Takeshita K, Yamamoto K, Imada K, Yabuuchi E, Wang L. Legionella pneumophila serogroup 3 isolated from a patient of pneumonia developed after drowning in bathtub of a hot spring spa. Kansenshogaku Zasshi. 1995;69:1356–64. (in Japanese, Abstract in English)CrossRefGoogle Scholar
  36. 36.
    Tsuchiya Y, Terao M, Fujimoto T, Nakamura K, Yamamoto M. Effects of Japan Sea proper water on the growth of Legionella pneumophila, Escherichia coli, and Staphylococcus aureus. Environ Health Prev Med. 2005;10:233–8.CrossRefGoogle Scholar
  37. 37.
    Kao AY, Munandar R, Ferrara SL, Systrom DM, Sheridan RL, Cash SS, Ryan ET. Case records of the Massachusetts General Hospital. Case 19-2005. A 17-year-old girl with respiratory distress and hemiparesis after surviving a tsunami. N Engl J Med. 2005;352:2628–36.CrossRefGoogle Scholar
  38. 38.
    Gunaratne PS, Wijeyaratne CN, Seneviratne HR. Aspergillus meningitis in Sri Lanka - a post-tsunami effect? N Engl J Med. 2007;356:754–6.CrossRefGoogle Scholar
  39. 39.
    Bastian I. The tsunami of tuberculosis. Med J Aust. 2005;182:263–4.PubMedGoogle Scholar
  40. 40.
    Kanamori H, Hatakeyama T, Uchiyama B, Weber DJ, Takeuchi M, Endo S, Hirakata Y, Kaku M. Clinical and molecular epidemiological features of tuberculosis after the 2011 Japan earthquake and tsunami. Int J Tuberc Lung Dis. 2016;20:505–14.CrossRefGoogle Scholar
  41. 41.
    Honda JR, Bernhard JN, Chan ED. Natural disasters and nontuberculous mycobacteria: a recipe for increased disease? Chest. 2015;147:304–8.CrossRefGoogle Scholar
  42. 42.
    Adjemian J, Olivier KN, Seitz AE, Falkinham JO III, Holland SM, Prevots DR. Spatial clusters of nontuberculous mycobacterial lung disease in the United States. Am J Respir Crit Care Med. 2012;186:553–8.CrossRefGoogle Scholar
  43. 43.
    Garzoni C, Emonet S, Legout L, Benedict R, Hoffmeyer P, Bernard L, Garbino J. Atypical infections in Tsunami survivors. Emerg Infect Dis. 2005;11:1591–3.CrossRefGoogle Scholar

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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