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- Title
Invasive aspergillosis in near drowning nonneutropenic patient.
- Authors
Munta, Kartik; Gopal, Palepu B. N.; Vigg, Ajit
- Abstract
Invasive aspergillosis in immunosuppressed people has been well documented, but to diagnose and treat in an immunocompetent individual after near drowning, it requires early suspicion and proper empirical treatment. We report a case diagnosed to have invasive aspergillosis with systemic dissemination of the infection to the brain, gluteal muscles, and kidneys after a fall in a chemical tank of a paper manufacturing company. He was ventilated for acute respiratory distress syndrome and managed with antibiotics and vasopressors. Due to nonresolving pneumonia and positive serum galactomannan, trans-tracheal biopsy was performed which confirmed invasive aspergillosis and was treated with antifungals. With the availability of galactomannan assay and better radiological investigative modalities, occurrence of such invasive fungal infections in cases of drowning patients should be considered early in such patients and treated with appropriate antifungals.
- Subjects
ADULT respiratory distress syndrome treatment; ANTIFUNGAL agents; ANTIBIOTICS; VASOCONSTRICTORS; ASPERGILLOSIS; BIOLOGICAL assay; BIOPSY; BRAIN; RESUSCITATION from drowning; ACCIDENTAL falls; KIDNEYS; MYCOSES; PNEUMONIA; VENTILATION; GLUTEAL muscles; THERAPEUTICS
- Publication
Indian Journal of Critical Care Medicine, 2015, Vol 19, Issue 12, p739
- ISSN
0972-5229
- Publication type
Article
- DOI
10.4103/0972-5229.171413