A 69-year-old alcoholic man with pneumonia and sepsis due to Aeromonas
hydrophila is presented, He died of suffocation by a copious amount o
f hemoptysis six hours after his first symptoms of abdominal pain, dia
rrhea and dyspnea, Aeromonas hydrophila was isolated from blood and br
onchial secretion, A fulminant form of pneumonia could develop in pati
ents with predisposing underlying conditions such as alcoholism with c
hronic hepatitis and diabetes mellitus. Aeromonas hydrophila pneumonia
may be characterized by hemoptysis and rapid clinical deterioration w
ith a high mortality rate.