Carisa Mariella Paraz, Mark Anthony Sandoval, Enrick Joshua Cruz
{"title":"<i>Klebsiella pneumoniae</i> Lung Abscess Due to Aspiration of Seawater During Recreational Free Diving.","authors":"Carisa Mariella Paraz, Mark Anthony Sandoval, Enrick Joshua Cruz","doi":"10.1177/10806032251314741","DOIUrl":null,"url":null,"abstract":"<p><p>Cough persisting for 5 wk, low-grade fever, and thick, pinkish to reddish, foul-tasting sputum made the doctors seeing this patient think of tuberculosis at first. However, a history of aspirating seawater during recreational free diving gave a clearer picture of how this patient got sick. Investigations later revealed a cavitary lesion in the right lung, and sputum culture grew <i>Klebsiella pneumoniae</i>, resulting in a diagnosis of lung abscess. This case is being reported to show this peculiar way that a bacterial pathogen entered the respiratory tree and that recreational free diving poses a health risk if done in a marine environment where this \"survivor bacteria\" thrives.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251314741"},"PeriodicalIF":1.4000,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wilderness & Environmental Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10806032251314741","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Cough persisting for 5 wk, low-grade fever, and thick, pinkish to reddish, foul-tasting sputum made the doctors seeing this patient think of tuberculosis at first. However, a history of aspirating seawater during recreational free diving gave a clearer picture of how this patient got sick. Investigations later revealed a cavitary lesion in the right lung, and sputum culture grew Klebsiella pneumoniae, resulting in a diagnosis of lung abscess. This case is being reported to show this peculiar way that a bacterial pathogen entered the respiratory tree and that recreational free diving poses a health risk if done in a marine environment where this "survivor bacteria" thrives.
期刊介绍:
Wilderness & Environmental Medicine, the official journal of the Wilderness Medical Society, is the leading journal for physicians practicing medicine in austere environments. This quarterly journal features articles on all aspects of wilderness medicine, including high altitude and climbing, cold- and heat-related phenomena, natural environmental disasters, immersion and near-drowning, diving, and barotrauma, hazardous plants/animals/insects/marine animals, animal attacks, search and rescue, ethical and legal issues, aeromedial transport, survival physiology, medicine in remote environments, travel medicine, operational medicine, and wilderness trauma management. It presents original research and clinical reports from scientists and practitioners around the globe. WEM invites submissions from authors who want to take advantage of our established publication''s unique scope, wide readership, and international recognition in the field of wilderness medicine. Its readership is a diverse group of medical and outdoor professionals who choose WEM as their primary wilderness medical resource.