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Late-onset miliary pneumonitis after near drowning
H Mangge1, B Plecko, H M Grubbauer
1Department of Pediatrics (Respiratory and Allergic Disease Division), School of Medicine, University of Graz, Austria.
Abstract:
We report a 7-year-old pediatric patient with an apparently self-limiting, subacute miliary pneumonitis that occurred 6 weeks after a near-drowning accident in shallow, muddy water. After biopsy, histological examination revealed aspirated foreign bodies (algae and pollen grains) in the affected lung areas and a foreign body reaction in the form of a granulomatous inflammation. The lack of any detectable infectious agents suggested a causative role of these aspirated algae and pollen grains in the development of lung disease.
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