Bacteremia with Cutaneous Nodules, Due to Pseudomonas Aeruginosa
ABSTRACT
Pseudomonas aeruginosa bacteremia rarely occurs in non-immunocompromised adults and can be difficult to be treated. We report a case of 35-year-old woman who presented with respiratory distress, fever and skin lesions. There was pleural effusion in chest radiograph, and CT scan of thorax showed necrotizing pneumonia and loculated empyema. Among the cultures of blood, empyema, sputum and the skin nodules aspirates, all were positive for Pseudomonas aeruginosa. The patient was treated with ciprofloxacin, amikacin and then pleural decortications. Laboratory tests failed to reveal any immunological deficits. After a period of 21 days of antibiotic therapy, the patient was discharged from hospital with a good condition.
Pseudomonas aeruginosa bacteremia rarely occurs in non-immunocompromised adults and can be difficult to be treated. We report a case of 35-year-old woman who presented with respiratory distress, fever and skin lesions. There was pleural effusion in chest radiograph, and CT scan of thorax showed necrotizing pneumonia and loculated empyema. Among the cultures of blood, empyema, sputum and the skin nodules aspirates, all were positive for Pseudomonas aeruginosa. The patient was treated with ciprofloxacin, amikacin and then pleural decortications. Laboratory tests failed to reveal any immunological deficits. After a period of 21 days of antibiotic therapy, the patient was discharged from hospital with a good condition.
Cite this paper
nullA. Heydari and M. Mojtabavi, "Bacteremia with Cutaneous Nodules, Due to Pseudomonas Aeruginosa," Advances in Infectious Diseases, Vol. 1 No. 2, 2011, pp. 27-28. doi: 10.4236/aid.2011.12004.
nullA. Heydari and M. Mojtabavi, "Bacteremia with Cutaneous Nodules, Due to Pseudomonas Aeruginosa," Advances in Infectious Diseases, Vol. 1 No. 2, 2011, pp. 27-28. doi: 10.4236/aid.2011.12004.
References
[1] P. D. Kumar, K. Ravakhah and B. C. West, “Disseminated Pseudomonas Aeruginosa and Necrotizing Pneumonia with Complete Recovery,” Southern Medical Journal, Vol. 94, No. 2, 2001, pp. 229-232. [2] S. Ishihara, M. Takino, Y. Okada and K. Mimura, “Septic Shock Due to Pseudomonas Aeruginosa in a Previously Healthy Woman,” Intensive Care Medicine, Vol. 21, No. 3, 1995, pp. 226-228. doi:10.1007/BF01701476 [3] C. C. Mull, R. J. Scarfone and D. Conway, “Ecthyma Gangrenosum as a Manifestation of Pseudomonas Sepsis in a Previously Healthy Child,” Annals of Emergency Medicine, Vol. 36, No. 4, 2000, pp. 383-387. doi:10.1067/mem.2000.110013 [4] D. Diaz-Valle, J. M. Benitez del Castillo, M. J. Fernandez Acenero, et al., “Endogenous Pseudomonas Endophthalmitis in an Immunocompetent Patient,” European Journal of Ophthalmology, Vol. 17, No. 3, 2007, pp. 461-463. [5] R. Roberts, M. M. Tarpay, M. I. Marks and R. Nitschke, “Erysipelas Like Lesions and Hyperesthesia as Manifestations of Pseudomonas Aeruginosa Sepsis,” Journal of the American Medical Association, Vol. 248, No. 17, 1982, p. 2156. doi:10.1001/jama.1982.03330170060030 [6] C. Jr. Forkner, E. Frel Jh and U. Jp Edgcomb, “Pseudomonas Septicemia, Observations on Twenty-Three Cases,” American Journal of Medicine, Vol. 25, No. 6, 1958, p. 877. doi:10.1016/0002-9343(58)90060-3
[1] P. D. Kumar, K. Ravakhah and B. C. West, “Disseminated Pseudomonas Aeruginosa and Necrotizing Pneumonia with Complete Recovery,” Southern Medical Journal, Vol. 94, No. 2, 2001, pp. 229-232. [2] S. Ishihara, M. Takino, Y. Okada and K. Mimura, “Septic Shock Due to Pseudomonas Aeruginosa in a Previously Healthy Woman,” Intensive Care Medicine, Vol. 21, No. 3, 1995, pp. 226-228. doi:10.1007/BF01701476 [3] C. C. Mull, R. J. Scarfone and D. Conway, “Ecthyma Gangrenosum as a Manifestation of Pseudomonas Sepsis in a Previously Healthy Child,” Annals of Emergency Medicine, Vol. 36, No. 4, 2000, pp. 383-387. doi:10.1067/mem.2000.110013 [4] D. Diaz-Valle, J. M. Benitez del Castillo, M. J. Fernandez Acenero, et al., “Endogenous Pseudomonas Endophthalmitis in an Immunocompetent Patient,” European Journal of Ophthalmology, Vol. 17, No. 3, 2007, pp. 461-463. [5] R. Roberts, M. M. Tarpay, M. I. Marks and R. Nitschke, “Erysipelas Like Lesions and Hyperesthesia as Manifestations of Pseudomonas Aeruginosa Sepsis,” Journal of the American Medical Association, Vol. 248, No. 17, 1982, p. 2156. doi:10.1001/jama.1982.03330170060030 [6] C. Jr. Forkner, E. Frel Jh and U. Jp Edgcomb, “Pseudomonas Septicemia, Observations on Twenty-Three Cases,” American Journal of Medicine, Vol. 25, No. 6, 1958, p. 877. doi:10.1016/0002-9343(58)90060-3