健常者に発症し，短時間に死亡に至った 市中発症緑膿菌肺炎の1例

岡部 志功; 宮崎 晋一; 藪 晃大; 近藤 友喜; 久野 泰雅; 井上 正英; 山下 良; 池田 拓也

doi:10.24557/kokyurinsho.6.e00144

Fatal fulminant community-acquired pneumonia due to Pseudomonas aeruginosa in a healthy woman

Shikou Okabe, Shinichi Miyazaki, Kodai Yabu, Yuki Kondo, Yasumasa Kuno, Masahide Inoue, Ryo Yamashita, Takuya Ikeda

Author information

Shikou Okabe [Japan]
Department of Internal Medicine, Yokkaichi Municipal Hospital, Mie [Japan]
Shinichi Miyazaki
Department of Respiratory Medicine, Yokkaichi Municipal Hospital, Mie [Japan]
Kodai Yabu [Japan]
Department of Hematology, Yokkaichi Municipal Hospital, Mie [Japan]
https://njjn-jsjc-gov-cn-s-1416.res.gxlib.org.cn:443/rwt/1416/https/PJYYELUQPJUB/03k36hk88
Yuki Kondo [Japan]
Department of Respiratory Medicine, Yokkaichi Municipal Hospital, Mie [Japan]
Yasumasa Kuno [Japan]
Department of Respiratory Medicine, Yokkaichi Municipal Hospital, Mie [Japan]
Masahide Inoue [Japan]
Department of Respiratory Medicine, Yokkaichi Municipal Hospital, Mie [Japan]
Ryo Yamashita [Japan]
Department of Respiratory Medicine, Yokkaichi Municipal Hospital, Mie [Japan]
Takuya Ikeda [Japan]
Department of Respiratory Medicine, Yokkaichi Municipal Hospital, Mie [Japan]

Keywords: community-acquired pneumonia, Pseudomonas aeruginosa, acute respiratory failure

JOURNAL OPEN ACCESS

2022 Volume 6 Issue 1 Article ID: e00144

DOI https://njjn-jsjc-gov-cn-s-1416.res.gxlib.org.cn:443/rwt/1416/https/MSYXTLUQPJUB/10.24557/kokyurinsho.6.e00144

Details

Abstract

A healthy 28-year-old woman presented to the emergency department with 2 days of malaise. On the day of presentation, she complained of dyspnea. The clinical findings (fever, shock, altered consciousness, and bilateral pulmonary shadows on chest imaging) were consistent with severe community-acquired pneumonia. Soon after presentation, she suffered from sudden cardiopulmonary arrest, and died two hours later. Later, cultures of sputum and blood grew Pseudomonas aeruginosa, and she was given a diagnosis of community-acquired pneumonia due to P. aeruginosa.

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