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Published on: December 8, 2017
Near-drowning-associated Aeromonas pneumonia
P T Ender1, M J Dolan, D Dolan
1Department of Infectious Diseases, Wilford Hall Medical Center, Lackland Air Force Base, Texas 78236-5300, USA.
The Journal of Emergency Medicine
|November 1, 1996
Summary
Aeromonas sobria pneumonia is a rare but severe infection following near-drowning incidents, particularly in young men. Rapid antibiotic treatment is crucial due to high mortality rates.
Area of Science:
- Infectious Diseases
- Pulmonology
- Microbiology
Background:
- Aeromonas species are emerging human pathogens.
- Aeromonas-associated pneumonia, especially post-near-drowning, is infrequently documented.
- This review focuses on Aeromonas sobria pneumonia in near-drowning victims.
Observation:
- Cases predominantly affect young, healthy males.
- Pneumonia and sepsis develop rapidly after a short stable period post-immersion.
- Chest radiography often reveals bilateral infiltrates.
Findings:
- A high rate of positive blood cultures was observed.
- Mortality rates associated with Aeromonas pneumonia post-near-drowning are notably high.
- Clinical and epidemiological data highlight rapid disease progression and severity.
Implications:
- Clinicians should consider Aeromonas pneumonia in near-drowning victims presenting with respiratory distress.
- Prompt initiation of broad-spectrum antibiotics is vital for suspected Aeromonas infections.
- Understanding these characteristics aids in timely diagnosis and management of a rare but serious complication.
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