What is the clinical presentation of Pseudomonas respiratory infections?

Updated: Dec 17, 2018
  • Author: Selina SP Chen, MD, MPH; Chief Editor: Russell W Steele, MD  more...
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Respiratory infections

  • Physical signs in patients with CF include evidence of undernutrition, increased anteroposterior diameter, retractions, cyanosis, inspiratory and expiratory wheezing, rhonchi, localized or generalized moist rales, abdominal distention, and clubbing of fingers and toes.

  • A rapid progression from pulmonary vascular congestion to pulmonary edema to necrotizing bronchopneumonia occurs in patients with bacteremic pseudomonal infections. Physical signs that can be expected include retraction, crackles, rhonchi, dulled reflexes, fever, and cyanosis.

  • Primary nonbacteremic pseudomonal infections can present as a diffuse bronchopneumonia, which is typically bilateral. Small pleural effusions are common, empyema is rare, and a pattern of lobar consolidation is sometimes noted. Correlating physical signs include crackles, rhonchi, and dulled reflexes at bases.

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