Subcutaneous nodules with Pseudomonas septicaemia in an immunocompetent patient

Pseudomonas septicaemia presenting with subcutaneous nodules, though rare, is well described in immuno-compromized populations. It is, however; very u ncommon in immunocompetent patients. We describe a case of a 42-year-old wo man who presented with community-acquired Pseudomonas aeruginosa septicaemi a and subcutaneous nodules. No precipitating cause or immune dysfunction wa s found. She was successfully treated with appropriate antibiotics, respira tory and cardiovascular support in the Intensive Care Unit. The difficulty in eradicating the organism from the skin lesion and the need for investiga ting the immune function of septicaemia patients are discussed.