%0 Journal Article %T Two cases of severe pneumonia after the 2011 Great East Japan Earthquake %A Toshihide Nakadate %A Yutaka Nakamura %A Kohei Yamauchii %A Shigeatu Endo %J Western Pacific Surveillance and Response %D 2012 %I World Health Organization %X In 2011, during the Great East Japan Earthquake and tsunami, 90% of victims died from drowning. We report on two tsunami survivors with severe pneumonia potentially caused by Legionella pneumophila. Both victims aspirated a large quantity of contaminated water; sand, mud and a variety of microbes were thought to have entered into their lower respiratory tracts. One patient had a mycotic intracranial aneurysm; the other patient had co-infections with several organisms, including Scedosporium species. Although scedosporiosis is a relatively rare infectious disease, symptoms are progressive and prognosis is poor. These pathogens are not specific for tsunami lung, but are reported causative agents for pneumonia after near-drowning. %K severe pneumonia %K 2011 Great East Japan %U http://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/180/220