Fulminant Community-Acquired Hemorrhagic Pneumonia due to Pseudomonas aeruginosa in a Patient With Anorexia Nervosa

Abstract

Community-acquired pneumonia (CAP) due to Pseudomonas aeruginosa is rare. We report a case of a 29-year-old female with anorexia nervosa admitted to our intensive care unit for CAP due to P. aeruginosa. Although she had no previously known pseudomonal risk factors, gram-negative rods found in the sputum Gram stain led to immediate administration of an antipseudomonal drug. Despite intensive care, she died on day 4 of hospitalization. Anorexia nervosa can be a risk factor for CAP due to P. aeruginosa. Gram-negative rods in the sputum of patients with severe CAP can be a key to choose antipseudomonal drugs.