Community-acquired Pseudomonas aeruginosa sepsis in previously healthy infants and children: analysis of forty-three episodes

Huang, Yhu Chering; Lin, Tzou Yien; Wang, Ching Hung

doi:10.1097/00006454-200211000-00015

Cited by 79 publications

(107 citation statements)

References 20 publications

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“…También se presentan con frecuencia en el ambiente intrahospitalario, donde suelen ser resistentes a diversos antimicrobianos. En situaciones excepcionales pueden producirse infecciones adquiridas en la comunidad en pacientes previamente sanos, las que pueden corresponder a la primera manifestación de algún defecto inmunológico no diagnosticado, como hipogamaglobulinemia, neutropenia cíclica y disfunción de los neutrófi los 4 .…”

Section: Introductionunclassified

“…Otros factores que favorecen las infecciones invasoras suelen presentarse en el contexto de pacientes con tratamiento corticoesteroidal, uso de ventilación mecánica, infecciones virales, uso de antimicrobianos (favorece cambios en la microbiota intestinal) e infecciones nosocomiales 4,5 .…”

Section: Introductionunclassified

“…En personas de la comunidad se han descrito infecciones cutáneas como foliculitis asociada a exposición a fuentes de agua caliente como jacuzzi o piscinas, artritis séptica en usuarios de drogas inyectables, otitis externa que puede ser grave en pacientes diabéticos y en inmunocomprometidos al desarrollar una otitis externa maligna [1][2][3][4][5][6] .…”

Section: Introductionunclassified

“…asociadas o no a bacteriemia, pudiendo ser de evolución grave y llegando incluso al compromiso multisistémico 3,4 .…”

Section: Introductionunclassified

“…Su patogenia comprende una trombosis arterio-venosa secundaria a la multiplicación bacteriana intravascular [10][11] , secuencia que dura aproximadamente 12 horas (Figura 1). Las lesiones aparecen generalmente en la región anogenital y glútea en 50% de los casos, aunque pueden presentarse en extremidades en 30%, tronco, axilas y cara [4][5][6][7][8][9][10][11][12] .…”

Section: Introductionunclassified

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Sepsis por Pseudomonas aeruginosa en un lactante previamente sano

Abarca

2011

Rev. chil. infectol.

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Sepsis due to Pseudomonas aeruginosa in a previously healthy infantPseudomonas aeruginosa, is an opportunistic organism widely distributed in both environmental and nosocomial settings. Invasive infections typically occur in immunocompromised patients, but this agent can also produce sepsis in the immunocompetent host. We report the case of an 8 months old infant, previous healthy, who presented septic shock by P. aeruginosa. Lesions of ecthyma gangrenosum in his limbs required surgical debridement. The patient presented transitory neutropenia and reduced C 4 levels but subsequent study of immune defects was normal.

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Section: Introductionunclassified

“…asociadas o no a bacteriemia, pudiendo ser de evolución grave y llegando incluso al compromiso multisistémico 3,4 .…”

Section: Introductionunclassified

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Sepsis por Pseudomonas aeruginosa en un lactante previamente sano

Abarca

2011

Rev. chil. infectol.

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Newborn With Unexpected Skin Lesions

et al. 2014

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A 25-day-old newborn was admitted to our hospital with a diagnosis of bronchiolitis. During admission, the infant developed violaceous skin lesions with edema in inguinal and axillary regions (Figure). Lesions became ulcerated within 3 to 4 days, with infarcted necrotic areas. Blood tests showed leukopenia (white blood cell count, 2460/μL) with neutropenia (neutrophil count, 220/μL) (to convert both to ×10 9 per liter, multiply by 0.001). The lesions were biopsied and samples were sent for cultures and histopathological analysis. Intravenous floxacillin was started, followed by surgical debridement due to progression of the major lesions.His mother was addicted to drugs, she had a known hepatitis C virus infection, and the pregnancy was unsupervised. Thirteen days before delivery, she visited the emergency department with flulike symptoms. Routine infectious screening revealed negative serology for syphilis, hepatitis B virus, and human immunodeficiency virus (HIV) types 1 and 2 by enzyme-linked immunosorbent assay (ELISA). The infant was born at 40 weeks' gestation by forceps delivery.

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Community‐acquired Pseudomonas aeruginosa pneumonia manifested by bloody pleural effusion in a previously healthy infant: A case report

Dong

Shen

Dong

et al. 2022

Clinical Laboratory Analysis

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Background Community‐acquired Pseudomonas aeruginosa pneumonia in immunocompetent children is a rare occurrence. Methods A retrospective analysis of the clinical manifestations, imaging characteristics, laboratory examinations, and treatment of a child with community‐acquired Pseudomonas aeruginosa pneumonia presented with bloody pleural effusion. Results The 1‐year‐old previously healthy patient, who developed community‐acquired pneumonia caused by Pseudomonas aeruginosa and influenza virus. The patient manifested bloody pleural effusion although his condition improved after anti‐infective therapy and closed thoracic drainage. After 10 days of hospitalization, his symptoms worsened, accompanied by hemoptysis, and the pathogen developed resistance to carbapenems. The antibiotic strategy was adjusted to combined antipseudomonal regimen. He developed low‐grade fever and was extubated, although these manifestations and imaging were eventually alleviated. Conclusions Community‐acquired Pseudomonas aeruginosa pneumonia in children may be non‐septic, with bloody pleural effusion as presentation, and the disease may progress after 10 days of treatment due to drug resistance in Pseudomonas aeruginosa . Early extubation should be considered after adequate drainage.

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Community-acquired Pseudomonas aeruginosa sepsis in previously healthy infants and children: analysis of forty-three episodes

Cited by 79 publications

References 20 publications

Sepsis por Pseudomonas aeruginosa en un lactante previamente sano

Sepsis por Pseudomonas aeruginosa en un lactante previamente sano

Newborn With Unexpected Skin Lesions

Community‐acquired Pseudomonas aeruginosa pneumonia manifested by bloody pleural effusion in a previously healthy infant: A case report

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