title: Fulminant primary Pseudomonas aeruginosa pneumonia and septicaemia in previously well adults.
abstract: 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.
authors: Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Australia.
authors: A
authors: A
authors: Henderson
authors: W
authors: W
authors: Kelly
authors: M
authors: M
authors: Wright
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents