Nakadate Toshihide, Nakamura Yutaka, Yamauchii Kohei, Endo Shigeatu
Department of Critical Care Medicine, Department of Respiratory Medicine, Iwate Medical University, Uchimar 19-1, Morioka, Iwate, Japan .
Western Pac Surveill Response J. 2012 Oct 30;3(4):67-70. doi: 10.5365/WPSAR.2012.3.2.002. Print 2012 Oct.
In 2011, during the Great East Japan Earthquake and tsunami, 90% of victims died from drowning. We report on two tsunami survivors with severe pneumonia potentially caused by Legionella pneumophila. Both victims aspirated a large quantity of contaminated water; sand, mud and a variety of microbes were thought to have entered into their lower respiratory tracts. One patient had a mycotic intracranial aneurysm; the other patient had co-infections with several organisms, including Scedosporium species. Although scedosporiosis is a relatively rare infectious disease, symptoms are progressive and prognosis is poor. These pathogens are not specific for tsunami lung, but are reported causative agents for pneumonia after near-drowning.
2011年，在东日本大地震及海啸期间，90%的遇难者死于溺水。我们报告了两名可能由嗜肺军团菌引起严重肺炎的海啸幸存者。两名受害者均吸入了大量受污染的水；沙子、泥土和各种微生物被认为进入了他们的下呼吸道。一名患者患有霉菌性颅内动脉瘤；另一名患者合并感染了包括波氏假霉样真菌在内的多种病原体。虽然波氏假霉样真菌病是一种相对罕见的传染病，但其症状呈进行性发展且预后较差。这些病原体并非海啸肺所特有，但据报道是近溺水后肺炎的致病因素。
