The Journal of the Japanese Respiratory Society ONLINE JOURNAL
ABSTRACT
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Article in Japanese
Case Report
A case of pulmonary infection caused by Pseudomonas aeruginosa with anorexia nervosa
Motoi Ugajin1), Seiichi Miwa1), Takafumi Suda2), Masahiro Shirai1), Hiroshi Hayakawa1) and Kingo Chida2)
1)Department of Respiratory Medicine, Tenryu Hospital, National Hospital Organization
2)Department of Respiratory Medicine, Hamamatsu University School of Medicine
ABSTRACT
A 19-year-old woman with anorexia nervosa (body weight 25 kg) was admitted to our hospital, showing a cavitary shadow in the left upper lung field on a chest radiograph film. We diagnosed a pulmonary abscess caused by Pseudomonas aeruginosa. A few days later, exacerbation, including enlargement of the cavitary shadow, ipsilateral pleural effusion and bilateral infiltrations, were observed. Finally, by using antibiotics such as Doripenem (DRPM) and Ciprofloxacin (CPFX), we were able to treat the disease by bronchoscopic and thoracic drainage. This case suggests we should take carefully treat anorexia nervosa patients with pulmonary infection.
KEYWORDS: Anorexia nervosa, Pulmonary abscess, Pseudomonas aeruginosa
RECEIVED: 2009.4.20
JJRS, 47(12): 1126-1130, 2009
