Fulminant Community-Acquired Hemorrhagic Pneumonia due to Pseudomonas aeruginosa in a Patient With Anorexia Nervosa

Yuki Kotani, Kenji Kubo, Toshihide Tsujimoto

Abstract


Community-acquired pneumonia (CAP) due to Pseudomonas aeruginosa is rare. We report a case of a 29-year-old female with anorexia nervosa admitted to our intensive care unit for CAP due to P. aeruginosa. Although she had no previously known pseudomonal risk factors, gram-negative rods found in the sputum Gram stain led to immediate administration of an antipseudomonal drug. Despite intensive care, she died on day 4 of hospitalization. Anorexia nervosa can be a risk factor for CAP due to P. aeruginosa. Gram-negative rods in the sputum of patients with severe CAP can be a key to choose antipseudomonal drugs.




J Med Cases. 2017;8(6):183-186
doi: https://doi.org/10.14740/jmc2833w


Keywords


Community-acquired pneumonia; Pseudomonas aeruginosa; Gram stain; Intensive care

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