NOCARDIA AND ASPERGILLUS PNEUMONIA IN A NEAR DROWNING VICTIM

Fungal pneumonia and pneumonia caused by uncommon organisms usually occurs in immunocompromised individuals, but this should be considered as a differential diagnosis in immunocompetent individuals when there is history of chronic lung diseases, submersion injury and contaminated open wounds. In our case a previously normal 7 year old female child was admitted with history of aspiration and extensive pneumonia following a near drowning incident. Child did not respond to multiple antibiotics. Culture of the bronchoalveolar lavage specimen showed Aspergillus and Nocardia. Culture of the water from the site of fall also grew Aspergillus.