
Bacteremia with Cutaneous Nodules, Due to Pseudomonas Aeruginosa
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Howevere other skin lesions may occasionally accom-
pany with pseudomonal bacteremia, such as subcutane-
ous nodules [4]. Other cutaneous lesions that occur dur-
ing bacterial septicemia include: maculopapular lesions
vesicles or pustules, and cellulitis, [5,6]. Our patient pre-
sented with Pseudomonas aeruginosa bacteremia, empy-
ma, lung abscess and the rare form of metastatic lesion,
skin no dule s. O ne ma y cor re ctl y suspe ct that the patient's
laparotomy was the source of the pseudomonas entry, but
there was a pleuretic-type flank pain before surgery sug-
gesting that a probable pseudomonal empyema already
occurred earlier.
4. Conclusions
The presence of the skin nodules as metastatic lesions o f
pseudomonal bacteremia along with bacteremia and se-
vere pleuropulmonary infection in an immunocompetent
young patient is a rare event. The clinicians should be
aware of this clinical picture and even in typical patients,
and search for unusual pathogens regardless of patients’
immu nol o gic s tatus.
REFERENCES
[1] P. D. Kumar, K. Ravakhah and B. C. West, “Dissemi-
nated Pseudomonas Aeruginosa and Necrotizing Pneu-
monia with Complete Recovery, ” Southern Medical
Journal, Vol . 94, No. 2, 20 01 , pp. 229-232.
[2] S. Ish ih ara, M . Takin o, Y. Okad a and K. Mimura, “Sep ti c
Shock Due to Pseudomonas Aeruginosa in a Previously
Healthy Woman,” Intensive Care Medicine, Vol. 21, No.
3, 1995, pp. 226-228. doi:10.1007/BF01701476
[3] C. C. Mull, R. J. Scarfone and D. Conway, “Ecthyma
Gangrenosum as a Manifestation of Pseudomonas Sepsis
in a Previously Healthy Child,” Annals of Emergency
Medicine, Vol. 36, No. 4, 2000, pp. 383-387.
doi:10.1067/mem.2000.110013
[4] D. Diaz-V all e, J. M . Benitez del Castillo, M. J. Fernandez
Acenero, et al., “Endogenous Pseudomonas Endophthal-
mitis in an Immunocompetent Patient,” European Journal
of O phthalmology , Vol. 17, No. 3, 2007, pp. 461-463.
[5] R. Roberts, M. M. Tarpay, M. I. Marks and R. Nitschke,
“Erysipelas Like Lesions and Hyperesthesia as Manife-
stations of Pseudomonas Aeruginosa Sepsis,” Journal of
the American Medical Association, Vol. 248, No. 17,
1982, p. 2156. doi:10.1001/jama.1982.03330170060030
[6] C. Jr. Forkner, E. Frel Jh and U. Jp Edgcomb, “Pseudo-
monas Septicemia, Obser vat ions on Twen ty-Three Ca-
ses,” Amer ican Journal of Medicine, Vol. 25, No. 6, 1958,
p. 877. doi:1 0.1016 /0002-9343(58)90060-3