1887

JMM Case Reports

Volume 1, Issue 2

Community‐acquired pneumonia in previously healthy patients Open Access

Abstract

Introduction:

community‐acquired pneumonia is an extremely rare clinical presentation but has been recognized in anecdotal reports, even in previously healthy patients.

Case presentation:

We describe a previously healthy man who developed community‐acquired pneumonia (CAP). He died of septic shock with rapidly progressive pulmonary consolidation in the right upper lobe (RUL). We reviewed the literature for CAP and identified 19 patients of whom 85 % ( = 17) had cavitations and/or consolidations in the RUL. We found that the odds ratio for death of shock at initial presentation was 8.333 ( = 0.046, 95 % confidence interval 1.034–67.142). We also found that CAP should be considered when individuals present with rapidly expanding cavitary pneumonia and/or consolidations in the RUL accompanied by septic shock, even if they have no known severe underlying disease and were previously healthy.

Conclusion:

We showed here that radiological findings of CAP, such as cavitary pneumonia and/or consolidation in the RUL, might be a clinical clue to a diagnosis of CAP as well as the presence of septic shock.

  • Received:
  • Accepted:
  • Published Online:
Keyword(s): cavity , community‐acquired pneumonia , Pseudomonas aeruginosa and septic shock
© 2014 The Authors
  • This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/).
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2014-06-01
2024-04-16
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Community‐acquired Pseudomonas aeruginosa pneumonia in previously healthy patients
JMM Case Rep 1, e000281 (2014); https://doi.org/10.1099/jmmcr.0.000281
/content/journal/jmmcr/10.1099/jmmcr.0.000281
/content/journal/jmmcr/10.1099/jmmcr.0.000281
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