What are symptoms indicative of an infection by Pseudomonas aeroginosa? Can you extrapolate the symptoms found in this case report that indicate infection by Pseudomonas aeroginosa?
A 45-year-old man was referred to our hospital with a 3 day history of productive cough and chest pain. He denied any dust exposure, illicit drug use, or contact with sick people. He had been administered with oral antihyperglycemic agents to treat controllable type 2 diabetes mellitus for over 15 years. His vital signs were as follows: blood pressure, 104/66 mmHg; heart rate, 128 beats min; respiratory rate, 24 min; body temperature, 102F; and 98 % oxygen saturation with ambient air, suggesting systemic inflammatory response syndrome (SIRS). Physical findings were normal except for decreased respiratory sounds right upper lung. A chest X-ray showed a homogeneous infiltrate in the right upper lobe, indicative of penuomonia. Thoracic CT showed consolidation in the right upper lobe together.
His serum laboratory findings and white blood cell counts were normal. Sputum samples were taken for culture, and revealed the presence of significant neutrophil presence. The patient was immediately treated him with ampicillin, but he went into shock 7 hours later and required aggressive treatment including intubation. In addition, increased serum procalcitonin and endotoxin were found, suggesting that septic shock. At that time, the treatment was immediately changed to doripenem. On day 3, his general status rapidly deteriorated and he died of septic shock.
What are symptoms indicative of an infection by Pseudomonas aeroginosa? Can you extrapolate the symptoms found in this case report that indicate infection by Pseudomonas aeroginosa?
A 45-year-old man was referred to our hospital with a 3 day history of productive cough and chest pain. He denied any dust exposure, illicit drug use, or contact with sick people. He had been administered with oral antihyperglycemic agents to treat controllable type 2 diabetes mellitus for over 15 years. His vital signs were as follows: blood pressure, 104/66 mmHg; heart rate, 128 beats min; respiratory rate, 24 min; body temperature, 102F; and 98 % oxygen saturation with ambient air, suggesting systemic inflammatory response syndrome (SIRS). Physical findings were normal except for decreased respiratory sounds right upper lung. A chest X-ray showed a homogeneous infiltrate in the right upper lobe, indicative of penuomonia. Thoracic CT showed consolidation in the right upper lobe together.
His serum laboratory findings and white blood cell counts were normal. Sputum samples were taken for culture, and revealed the presence of significant neutrophil presence. The patient was immediately treated him with ampicillin, but he went into shock 7 hours later and required aggressive treatment including intubation. In addition, increased serum procalcitonin and endotoxin were found, suggesting that septic shock. At that time, the treatment was immediately changed to doripenem. On day 3, his general status rapidly deteriorated and he died of septic shock.
