Case Report

Disseminated Pseudomonas aeruginosa and Necrotizing Pneumonia With Complete Recovery

Authors: P. DILEEP KUMAR, MD, KEYVAN RAVAKHAH, MD, BURTON C. WEST, MD

Abstract

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.

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References