Upper lobectomy to control bleeding caused by rapidly developing Pseudomonas aeruginosa community-acquired pneumonia in an otehrwise healthy man

Abstract

A 53-year-old man was referred to our hospital with chest and back pain and dyspnea. We performed an emergency right upper lobectomy to stop the bleeding by hemoptysis and hemothorax. Multiple organ failure followed and he died 5 hours after surgery. Pseudomonas aeruginosa was detected in sputum and blood cultures. Pathological examination of the resected specimens led to a diagnosis of hemorrhagic pneumonia caused by Pseudomonas aeruginosa pneumonia. Community-acquired pneumonia caused by Pseudomonas aeruginosa is extremely rare. Respiratory failure progresses rapidly and the mortality rate is high, but there has been no report of Pseudomonas aeruginosa pneumonia causing hemorrhagic shock due to hemorrhagic pneumonia. We report the use of surgery to stop the bleeding due to hemoptysis and hemothorax caused by Pseudomonas aeruginosa community-acquired pneumonia.