The Experts below are selected from a list of 1839 Experts worldwide ranked by ideXlab platform
Egon Marth - One of the best experts on this subject based on the ideXlab platform.
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lethal brain abscess due to the fungus scedosporium apiospermum teleomorph pseudallescheria boydii after a near Drowning incident case report and review of the literature
Medical Mycology, 2006Co-Authors: Walter Buzina, Gebhard Feierl, Doris Haas, A Holl, B Reichenpfader, Peter Roll, Franz F. Reinthaler, Reinhold Kleinert, Egon MarthAbstract:A 39-year-old healthy man developed a brain abscess weeks after a near-Drowning incident. Scedosporium apiospermum, the anamorph of Pseudallescheria boydii, was isolated from the abscess. The patient died 153 days after the accident despite antifungal therapy. We discuss the role of antifungals and review the literature for comparable cases.
Anne B Chang - One of the best experts on this subject based on the ideXlab platform.
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therapeutic bronchoscopy in a child with sand aspiration and respiratory failure from near Drowning case report and literature review
Pediatric Pulmonology, 2009Co-Authors: Nitin Kapur, A Slater, J Mceniery, M L Greer, I B Masters, Anne B ChangAbstract:Foreign matter aspiration occurs relatively commonly in Drowning and near-Drowning events. In most cases, stomach contents are aspirated. Sand aspiration rarely occurs and there are no reported cases in children with near Drowning. Limited data are available on clinical presentation and management of sand aspiration with accidental burial. We report a 3-year-old boy who nearly drowned while swimming in brackish waters and was found face down in sand. Sand aspiration was suspected when the child continued to have persistent wheezing and high ventilatory requirement despite intensive bronchodilator and corticosteroids therapy with an inability to wean after 4 days post-near-Drowning event. Radiology was non-specific in the absence of sand bronchogram. Presence of sand in the airways was confirmed when a bronchoscopy was undertaken and sand seen in the bronchoalveolar lavage fluid. Sequential lung washing followed by exogenous surfactant administration (3 ml/kg) was undertaken and lead to significant improvement such that within 12 hr post-therapeutic lavage, his ventilatory requirements reduced substantially. The child was extubated 4 days post-lavage and on review 2 months post-event, was clinically well with airway resistance within normal predicted values measured on forced oscillatory spirometry (IOS).
Nitin Kapur - One of the best experts on this subject based on the ideXlab platform.
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therapeutic bronchoscopy in a child with sand aspiration and respiratory failure from near Drowning case report and literature review
Pediatric Pulmonology, 2009Co-Authors: Nitin Kapur, A Slater, J Mceniery, M L Greer, I B Masters, Anne B ChangAbstract:Foreign matter aspiration occurs relatively commonly in Drowning and near-Drowning events. In most cases, stomach contents are aspirated. Sand aspiration rarely occurs and there are no reported cases in children with near Drowning. Limited data are available on clinical presentation and management of sand aspiration with accidental burial. We report a 3-year-old boy who nearly drowned while swimming in brackish waters and was found face down in sand. Sand aspiration was suspected when the child continued to have persistent wheezing and high ventilatory requirement despite intensive bronchodilator and corticosteroids therapy with an inability to wean after 4 days post-near-Drowning event. Radiology was non-specific in the absence of sand bronchogram. Presence of sand in the airways was confirmed when a bronchoscopy was undertaken and sand seen in the bronchoalveolar lavage fluid. Sequential lung washing followed by exogenous surfactant administration (3 ml/kg) was undertaken and lead to significant improvement such that within 12 hr post-therapeutic lavage, his ventilatory requirements reduced substantially. The child was extubated 4 days post-lavage and on review 2 months post-event, was clinically well with airway resistance within normal predicted values measured on forced oscillatory spirometry (IOS).
Dabor Resiere - One of the best experts on this subject based on the ideXlab platform.
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incidence and consequences of near Drowning related pneumonia a descriptive series from martinique french west indies
International Journal of Environmental Research and Public Health, 2017Co-Authors: Laura Cerland, Bruno Megarbane, Hatem Kallel, Yanick Brouste, Hossein Mehdaoui, Dabor ResiereAbstract:Drowning represents one major cause of accidental death. near-Drowning patients are exposed to aspiration that may result in pneumonia with life-threatening consequences. We designed this descriptive study to investigate the frequency, nature, and consequences of post-Drowning pneumonia. One hundred and forty-four near-Drowning patients (33 children and 111 adults) admitted during four years to the University Hospital of Martinique, French Indies, were included. Patients presented pre-hospital cardiac arrest (41%) and exhibited acute respiratory failure (54%), cardiovascular failure (27%), and lactic acidosis (75%) on admission. Empirical antibiotics, as decided by the physicians in charge, were administered in 85 patients (59%). Post-Drowning early onset bacterial pneumonia was diagnosed as “possible” in 13 patients (9%) and “confirmed” in 22 patients (15%). Tracheal aspiration revealed the presence of polymorphous pharyngeal flora (59%) or one predominant bacteria species (41%) including Enterobacter aerogenes, Enterobacter cloacae, Staphylococcus aureus, Pseudomonas aeruginosa, Aeromonas hydrophilia, and Morganella morgani. Despite adequate supportive care, Drowning resulted in 45 fatalities (31%). Early onset bacterial aspiration pneumonia (either possible or confirmed) did not significantly influence the risk of death. In conclusion, near-Drowning–related bacterial aspiration pneumonia seems rare and does not influence the mortality rate. There is still a need for practice standardization to improve diagnosis of post-Drowning pneumonia and near-Drowning patient management.
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Incidence and Consequences of near-Drowning–Related Pneumonia—A Descriptive Series from Martinique, French West Indies
MDPI AG, 2017Co-Authors: Laura Cerland, Bruno Megarbane, Hatem Kallel, Yanick Brouste, Hossein Mehdaoui, Dabor ResiereAbstract:Drowning represents one major cause of accidental death. near-Drowning patients are exposed to aspiration that may result in pneumonia with life-threatening consequences. We designed this descriptive study to investigate the frequency, nature, and consequences of post-Drowning pneumonia. One hundred and forty-four near-Drowning patients (33 children and 111 adults) admitted during four years to the University Hospital of Martinique, French Indies, were included. Patients presented pre-hospital cardiac arrest (41%) and exhibited acute respiratory failure (54%), cardiovascular failure (27%), and lactic acidosis (75%) on admission. Empirical antibiotics, as decided by the physicians in charge, were administered in 85 patients (59%). Post-Drowning early onset bacterial pneumonia was diagnosed as “possible” in 13 patients (9%) and “confirmed” in 22 patients (15%). Tracheal aspiration revealed the presence of polymorphous pharyngeal flora (59%) or one predominant bacteria species (41%) including Enterobacter aerogenes, Enterobacter cloacae, Staphylococcus aureus, Pseudomonas aeruginosa, Aeromonas hydrophilia, and Morganella morgani. Despite adequate supportive care, Drowning resulted in 45 fatalities (31%). Early onset bacterial aspiration pneumonia (either possible or confirmed) did not significantly influence the risk of death. In conclusion, near-Drowning–related bacterial aspiration pneumonia seems rare and does not influence the mortality rate. There is still a need for practice standardization to improve diagnosis of post-Drowning pneumonia and near-Drowning patient management
Tatjana Seute - One of the best experts on this subject based on the ideXlab platform.
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Invasive Pulmonary and Central Nervous System Aspergillosis After near-Drowning of a Child: Case Report and Review of the Literature
PEDIATRICS, 2006Co-Authors: P. Leroy, A. Smismans, Tatjana SeuteAbstract:Invasive aspergillosis is extremely rare in immunocompetent children. Here we describe the clinical, radiologic, and laboratory course of fatal invasive pulmonary and central nervous system aspergillosis in a previously healthy child after a near-Drowning incident with submersion in a pond. Findings were compared with data from the literature, which is reviewed. Serum Aspergillus galactomannan levels were determined retrospectively and were compared with the results of routine microbiological and radiologic examinations, showing a significant diagnostic and therapeutic delay of the routine diagnostic approach in comparison with the use of the Aspergillus galactomannan assay. This delay may have contributed to the fatal course. Serial determination of serum Aspergillus galactomannan may be helpful in diagnosing invasive aspergillosis early in case of pulmonary disease after near-Drowning and may contribute to an early appropriate treatment. Currently voriconazole, eventually in combination with caspofungin, should be considered as the drug of choice in the management of invasive aspergillosis after near-Drowning.
