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VOLUME 19 , ISSUE 12 ( 2015 ) > List of Articles


Invasive aspergillosis in near drowning nonneutropenic patient

Kartik Munta, Palepu B. N. Gopal, Ajit Vigg

Keywords : Acute respiratory distress syndrome, invasive aspergillosis, near drowning, voriconazole

Citation Information : Munta K, Gopal PB, Vigg A. Invasive aspergillosis in near drowning nonneutropenic patient. Indian J Crit Care Med 2015; 19 (12):739-742.

DOI: 10.4103/0972-5229.171413

License: CC BY-ND 3.0

Published Online: 01-04-2013

Copyright Statement:  Copyright © 2015; The Author(s).


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.

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