Near-drowning-associated Aeromonas pneumonia

Peter T. Ender, Matthew J. Dolan, Donna Dolan, J. Christopher Farmer, Gregory P. Melcher

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

Aeromonas is increasingly recognized an a human pathogen that causes a variety of different infections. Aeromonas has rarely been reported as a cause of respiratory infection, and it has been described in near-drowning- associated pneumonia. This article reviews a case of Aeromonas sobria pneumonia associated with a near drowning and considers the clinical and epidemiological characteristics of 10 previously reported cases. Nearly all of the cases involved young healthy men, a rapid development of pneumonia and sepsis after a brief stable period postimmersion, and bilateral infiltrates on chest radiography. A very high rate of positive blood cultures and mortality was also noted. The epidemiological and clinical data in this review may be helpful to the clinician caring for near-drowning victims. Although prophylactic antibiotics are not recommended for neardrowning victims, broad-spectrum antibiotics should be rapidly instituted with any evidence of infection.

Original languageEnglish (US)
Pages (from-to)737-741
Number of pages5
JournalJournal of Emergency Medicine
Volume14
Issue number6
DOIs
StatePublished - Nov 1 1996

Keywords

  • Aeromonas
  • aspiration
  • immersion
  • near drowning
  • pneumonia

ASJC Scopus subject areas

  • Emergency Medicine

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