Fulminant primary Pseudomonas aeruginosa pneumonia and septicaemia in previously well adults.
We report two cases of primary, community acquired, Pseudomonas aeruginosa pneumonia, occurring in previously well adults without any recognisable environmental risk factors. Both patients died within 36 h of the onset of symptoms, despite broad spectrum antibiotics and aggressive supportive care. In neither case was the diagnosis considered in life and neither patient received adequate anti-pseudomonas therapy. Heightened awareness of this rare, fulminant, variant of primary Pseudomonas pneumonia is required if specific anti-pseudomonas therapy is to have any impact on outcome.
Henderson
A
A
Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Australia.
Kelly
W
W
Wright
M
M
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001784:Blood Gas Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000628:therapy; D011379:Prognosis; D011552:Pseudomonas Infections / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000628:therapy; D011859:Radiography; D012121:Respiration, Artificial
D000900:Anti-Bacterial Agents