Septic shock secondary to an acute necrotizing community-acquired pneumonia with bacteremia due to Pseudomonas aeruginosa.

Pseudomonas aeruginosa is an uncommon cause of necrotizing acute community-acquired pneumonia (CAP). Only thirteen cases have been previously reported in the literature. In this article, we describe a case of previously healthy 80-year-old male patient, who presented in septic shock caused by necrotizing CAP. Despite inadequate empiric antimicrobial treatment, the patient survived and was able to return to his home after three weeks of hospitalization. To the best of our knowledge, this is the second case of septic shock secondary to P. aeruginosa necrotizing CAP and bacteremia, with optimal clinical outcome. We highlight the evolution of this pathology remains unpredictable, despite the factors related to the host and the bacterium.

[Pleural sarcoidosis. Course of an unusual localization after corticosteroid treatment]. / Sarcoïdose pleurale. Evolution sous corticothérapie d'une localisation rare.

We report the case of a 69-year-old woman investigated for suspected pleuropneumopathy. Thoracoscopy led to the diagnosis of sarcoidosis with pleural involvement. This case illustrates an uncommon localization of sarcoidosis and its clinical course after corticosteroid treatment.

[Sarcoidosis in a patient with Crohn disease]. / Apparition d'une sarcoïdose chez une patiente atteinte d'une maladie de Crohn.

Extra-intestinal manifestations of inflammatory bowel disease (Crohn's disease) are frequent although pulmonary signs are uncommon. We report the case of a patient with sarcoidosis and inflammatory bowel disease and discuss the common features of these two diseases.

[Surgical emergency disclosing sarcoidosis. Apropos of a case]. / Urgence chirurgicale révélant une sarcoïdose. A propos d'un cas.

Sarcoidosis is a diffuse granulomatosis predominately with mediastino-pulmonary localizations. A wide range of extrathoracic localizations can also occur and when they are the initial manifestation, may lead to misdiagnosis. We observed a rare case of peritoneal sarcoidosis revealed by a surgical emergency.