Disseminated Pseudomonas aeruginosa and necrotizing pneumonia with complete recovery.
Pseudomonas aeruginosa pneumonia and recovery with treatment are rare in healthy individuals. We report the case of a 59-year-old man with P aeruginosa skin infection and sepsis, later giving rise to necrotizing pneumonia by hematogenous spread. He responded to prolonged intensive care and 3 weeks of piperacillin-tazobactam and tobramycin therapy. There was no evidence of immunosuppression other than that caused by alcoholism in this unusual case. The resulting cavity healed completely by fibrosis in 1 year.
Department of Medicine, Huron Hospital, Cleveland, Ohio 44112, USA.
P D
PD
Kumar
K
K
Ravakhah
B C
BC
West
D000437:Alcoholism / Q000150:complications; D000900:Anti-Bacterial Agents; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D018410:Pneumonia, Bacterial / Q000150:complications* / Q000188:drug therapy; D011552:Pseudomonas Infections / Q000150:complications* / Q000188:drug therapy; D011550:Pseudomonas aeruginosa; D018805:Sepsis / Q000150:complications* / Q000188:drug therapy; D017192:Skin Diseases, Bacterial / Q000150:complications* / Q000188:drug therapy
D000900:Anti-Bacterial Agents