&amp;lt;i&amp;gt;Pseudomonas aeruginosa&amp;lt;/i&amp;gt; Community Acquired Pneumonia with Septicemia in a Previously Healthy Woman

Yoshiro Imai,Ryo Iida,Masahiko Nitta,Akira Takasu

doi:10.4236/crcm.2016.59051

Abstract

A previously healthy 53-year-old woman was urgently hospitalized due to septic shock. She was diagnosed with bacterial pneumonia based on chest radiograph and computed tomography findings of right upper lobe consolidation. Sputum Gramstain at the time of admission showed gram-negative rods with phagocytosis. Intravenous meropenem was immediately initiated as empiric antibacterial therapy. Bacterial culture specimens from sputum and blood were positive for Pseudomonas aeruginosa. Following appropriate antibiotic therapies, the patient recovered from a shock state and gradually became well. There has been no evidence of recurrence at 6 months after discharge. P. aeruginosa community acquired pneumonia with septicemia is rapidly progressive and often fatal. The choice of initial empiric antibiotic treatment that is active against P. aeruginosa is critical in improving outcome.

Highlights

P. aeruginosa is a frequent pathogen causing hospital-acquired pneumonia and healthcare-associated pneumonia, but is a rare cause of Community Acquired Pneumonia (CAP) in an immune competent host [1]
A previously healthy 53-year-old woman was urgently hospitalized due to septic shock. She was diagnosed with bacterial pneumonia based on chest radiograph and computed tomography findings of right upper lobe consolidation
We report a case of P. aeruginosa CAP with septicemia in a previously healthy woman who was success

Summary

Introduction

P. aeruginosa is a frequent pathogen causing hospital-acquired pneumonia and healthcare-associated pneumonia, but is a rare cause of Community Acquired Pneumonia (CAP) in an immune competent host [1]. P. aeruginosa CAP is prone to develop septicemia, is often rapidly progressive, and may be fatal [2]. Appropriate initial empiric antibiotic treatment is crucial in improving outcomes. We report a case of P. aeruginosa CAP with septicemia in a previously healthy woman who was success-. Y. Imai et al 336 fully treated by appropriate antibiotic treatment

Case Report

Discussion

73 Male Chest pain