Disseminated Pseudomonas aeruginosa and necrotizing pneumonia with complete recovery

Pseudomonas aeruginosa pneumonia and recovery with treatment are rare in he althy individuals. We report the case of a 59-year-old man with P aeruginos a skin infection and sepsis, later giving rise to necrotizing pneumonia by hematogenous spread. He responded to prolonged intensive care and 3 weeks o f piperacillin-tazobactam and tobramycin therapy. There was no evidence of immunosuppression other than that caused by alcoholism in this unusual case . The resulting cavity healed completely by fibrosis in 1 year.