Ender P T, Dolan M J, Dolan D, Farmer J C, Melcher G P
Department of Infectious Diseases, Wilford Hall Medical Center, Lackland Air Force Base, Texas 78236-5300, USA.
J Emerg Med. 1996 Nov-Dec;14(6):737-41. doi: 10.1016/s0736-4679(96)00183-7.
Aeromonas is increasingly recognized as 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 near-drowning victims, broad-spectrum antibiotics should be rapidly instituted with any evidence of infection.
气单胞菌越来越被认为是一种可导致多种不同感染的人类病原体。气单胞菌作为呼吸道感染病因的报道很少，仅在与近乎溺水相关的肺炎中有所描述。本文回顾了一例与近乎溺水相关的温和气单胞菌肺炎病例，并分析了此前报道的10例病例的临床和流行病学特征。几乎所有病例均为年轻健康男性，在溺水后短暂稳定期后迅速发展为肺炎和败血症，胸部X线显示双侧浸润。血培养阳性率和死亡率也非常高。本综述中的流行病学和临床数据可能有助于临床医生护理近乎溺水的受害者。虽然不建议对近乎溺水的受害者预防性使用抗生素，但一旦有任何感染迹象，应迅速使用广谱抗生素。
