Pseudomonas and rheumatic disease Please rate this page (bottom of page)

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Definition

Pseudomonas is a bacterium (P. aeruginosa) that can cause Opportunistic infection in bronchia / lungs, urinary tract, wounds, eyes or cause blood poisoning (Sepsis). Also, contact lens solutions may be contaminated with pseudomonas. Some pseudomonas are resistant (resistant) to most antibiotics.

  • The infection does not cause rheumatic symptoms, but in a weakened immune system such as during immunosuppressive, anti-rheumatic treatment, after organ transplantation or in HIV infection, the infection can become severe.

Occurrence

  • The bacterium is found in contaminated water and other humidity as in hot baths, baths and heat pumps / air conditioning
  • Also, the bladder catheter and intravenous venous ports may be infected
  • Wound infection after surgical intervention occurs

Symptoms

  • Pneumonia (diffuse brocho pneumonia) is seen especially in cystic fibrosis
  • Septic shock (most often at low neutrophil leukocytes)
  • Urinary tract infections most often occur after catheterization (hospital (noskominal) infection)
  • Gastrointestinal infection in the form of necrotizing enterocolitis seen in premature babies (premature) children and by cancer
  • Skin and soft tissue infection with bleeding and necrosis (black, dead tissue) such as wound infection after burns
  • Outer ear canal attack (external otitis)
  • Skeletal infection (Osteomyelitis), especially on feet after pressure sores.

Treatment

  • Infected catheters and other causes must be removed
  • Early antibiotic treatment
  • When choosing antibiotics (possible combinations) consider the risk of resistance
  • Consider advice from infectious medicine expertise

Literature

Opportunistic infections, BINDEVEVSSYKDOMMER.no


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