感染症学雑誌
Online ISSN : 1884-569X
Print ISSN : 0387-5911
症例
固形腫瘍患者の菌血症を伴う緑膿菌肺炎の2 症例
藤田 崇宏具 芳明岸田 直樹冲中 敬二大曲 貴夫
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2010 年 84 巻 5 号 p. 588-591

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Pseudomonas aeruginosa, the leading nosocomial pneumonia pathogen in immunocompromised patients,has Recently become typically presented as slowly progressive ventilator-associated pneumonia. We report two cases of bacteremic pneumonia due to Pseudomonas aeruginosa in non-neutropenic solid-organ cancer. Both subjects had sudden sepsis or septic shock but few respiratory symptoms. Chest radiography showed a diffuse unilateral decrease in permeability, becoming necrotizing pneumonia and lung abscess in 7- 10 days. Conventional literature describe fulminant pseudomonas bacteremic pneumonia in non-neutropenic immunocompromised hosts as the initial presentation with septic shock and interstitial lung opacity, leading lung abscess.

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