Scedosporium aurantiacum brain abscess after near-drowning in a survivor of a tsunami in Japan

Abstract Many victims of the tsunami that occurred following the Great East Japan Earthquake on March 11, 2011 developed systemic disorders owing to aspiration pneumonia. Herein, we report a case of tsunami lung wherein Scedosporium aurantiacum was detected in the respiratory tract. A magnetic reson...

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Veröffentlicht in:	Respiratory investigation 2013-12, Vol.51 (4), p.207-211
Hauptverfasser:	Nakamura, Yutaka, Suzuki, Naomi, Nakajima, Yoshio, Utsumi, Yu, Murata, Okinori, Nagashima, Hiromi, Saito, Heisuke, Sasaki, Nobuhito, Fujimura, Itaru, Ogino, Yoshinobu, Kato, Kanako, Terayama, Yasuo, Miyamoto, Shinya, Yarita, Kyoko, Kamei, Katsuhiko, Nakadate, Toshihide, Endo, Shigeatsu, Shibuya, Kazutoshi, Yamauchi, Kohei
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Amphotericin B - administration & dosage Antifungal Agents - administration & dosage Brain Abscess - diagnosis Brain Abscess - drug therapy Brain Abscess - etiology Brain Abscess - therapy Central Nervous System Fungal Infections - diagnosis Central Nervous System Fungal Infections - drug therapy Central Nervous System Fungal Infections - etiology Delayed Diagnosis Female Humans Internal Medicine Japan Lung Diseases, Fungal - diagnosis Lung Diseases, Fungal - etiology Lung Diseases, Fungal - therapy Magnetic Resonance Imaging Near Drowning - complications Pulmonary/Respiratory Pyrimidines - administration & dosage Scedosporium - isolation & purification Survivors Tomography, X-Ray Computed Triazoles - administration & dosage Tsunamis Voriconazole
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Zusammenfassung:	Abstract Many victims of the tsunami that occurred following the Great East Japan Earthquake on March 11, 2011 developed systemic disorders owing to aspiration pneumonia. Herein, we report a case of tsunami lung wherein Scedosporium aurantiacum was detected in the respiratory tract. A magnetic resonance image of the patient's head confirmed multiple brain abscesses and lateral right ventricle enlargement. In this case report, we describe a potential refractory multidrug-resistant infection following a tsunami disaster.
ISSN:	2212-5345 2212-5353
DOI:	10.1016/j.resinv.2013.07.001