Tsunami lung

We encountered three cases of lung disorders caused by drowning in the recent large tsunami that struck following the Great East Japan Earthquake. All three were females, and two of them were old elderly. All segments of both lungs were involved in all the three patients, necessitating ICU admission...

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Veröffentlicht in:Journal of anesthesia 2012-04, Vol.26 (2), p.246-249
Hauptverfasser: Inoue, Yoshihiro, Fujino, Yasuhisa, Onodera, Makoto, Kikuchi, Satoshi, Shozushima, Tatsuyori, Ogino, Nobuyoshi, Mori, Kiyoshi, Oikawa, Hirotaka, Koeda, Yorihiko, Ueda, Hironobu, Takahashi, Tomohiro, Terui, Katsutoshi, Nakadate, Toshihide, Aoki, Hidehiko, Endo, Shigeatsu
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container_end_page 249
container_issue 2
container_start_page 246
container_title Journal of anesthesia
container_volume 26
creator Inoue, Yoshihiro
Fujino, Yasuhisa
Onodera, Makoto
Kikuchi, Satoshi
Shozushima, Tatsuyori
Ogino, Nobuyoshi
Mori, Kiyoshi
Oikawa, Hirotaka
Koeda, Yorihiko
Ueda, Hironobu
Takahashi, Tomohiro
Terui, Katsutoshi
Nakadate, Toshihide
Aoki, Hidehiko
Endo, Shigeatsu
description We encountered three cases of lung disorders caused by drowning in the recent large tsunami that struck following the Great East Japan Earthquake. All three were females, and two of them were old elderly. All segments of both lungs were involved in all the three patients, necessitating ICU admission and endotracheal intubation and mechanical ventilation. All three died within 3 weeks. In at least two cases, misswallowing of oil was suspected from the features noted at the time of the detection. Sputum culture for bacteria yielded isolation of Stenotrophomonas maltophilia, Legionella pneumophila , Burkholderia cepacia , and Pseudomonas aeruginosa . The cause of tsunami lung may be a combination of chemical induced pneumonia and bacterial pneumonia.
doi_str_mv 10.1007/s00540-011-1273-6
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subjects Adult
Aged, 80 and over
Anesthesiology
Bacterial pneumonia
Critical Care Medicine
Disasters
Earthquakes
Emergency Medicine
Fatal Outcome
Female
Humans
Intensive
Intensive Care Units
Intubation, Intratracheal
Japan
Lung Diseases - etiology
Lung Diseases - microbiology
Lung Diseases - pathology
Medicine
Medicine & Public Health
Pain Medicine
Pneumonia
Pneumonia, Bacterial - microbiology
Pneumonia, Bacterial - pathology
Respiration, Artificial
Special Article
Tsunamis
title Tsunami lung
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