Bacteremia with Cutaneous Nodules, Due to Pseudomonas Aeruginosa英文文献资料.docVIP

Advances in Infectious Diseases, 2011, 1, 27-28 27 doi:10.4236/aid.2011.12004 Published Online December 2011 (http://www.SciRP.org/journal/aid) Bacteremia with Cutaneous Nodules, Due to Pseudomonas Aeruginosa Ali Akbar Heydari , Maryam Mojtabavi 1 2 1 Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran; 2 Mashhad University of Medical Sciences, Mashhad, Iran. Email: Heydariaa@mums.ac.ir Received November 1 , 2011; revised December 2 , 2011; accepted December 10 , 2011. st nd th 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 ae- ruginosa. 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. Keywords: Pseudomonas, Aeruginosa, Bacteremia, Cutaneous Nodules. 1. Introduction Pseudomonas aeruginosa (PA) is an opportunistic patho- gen which rarely causes a disease in healthy persons, ei- ther children or adults [1-3]. These infections often occur in patients with underlying conditions. Our patient pre- sented with Pseudomonas aeruginosa bacteremia, empy- ma, lung abscess and the rare form of metastatic lesion (skin nodules). 2. Case Presentation A 35-years-old female was admitted to the Infectious Dis- ease