[Two cases of bacteremic pneumonia caused by Pseudomonas aeruginosa in solid-organ cancer patients].
Pseudomonas aeruginosa, the leading nosocomial pneumonia pathogen in immunocompromised patients, has Recently become typically presented as slowly progressive ventilator-associated pneumonia. We report two cases of bacteremic pneumonia due to Pseudomonas aeruginosa in non-neutropenic solid-organ cancer. Both subjects had sudden sepsis or septic shock but few respiratory symptoms. Chest radiography showed a diffuse unilateral decrease in permeability, becoming necrotizing pneumonia and lung abscess in 7-10 days. Conventional literature describe fulminant pseudomonas bacteremic pneumonia in non-neutropenic immunocompromised hosts as the initial presentation with septic shock and interstitial lung opacity, leading lung abscess.
Division of Infectious Diseases, Shizuoka Cancer Center Hospital.
Takahiro
T
Fujita
Yoshiaki
Y
Gu
Naoki
N
Kishida
Keiji
K
Okinaka
Norio
N
Ohmagari
D000368:Aged; D016470:Bacteremia / Q000382:microbiology*; D001932:Brain Neoplasms / Q000150:complications; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000382:microbiology*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification*