Introduction: Pseudomonas stutzeri is an aerobic gram negative bacilli. It is mostly a saprophyte found in soil, water, and rarely leads to serious community or nosocomial acquired infections. Cases of P.stutzeri infections reported mainly in immunocompromised patients with underlying diseases or previous surgery or trauma.
The most common reported sites of clinical isolates are surgical wounds, blood, respiratory tract, and urine. When it is isolated from unsterile site it uncommonly indicates pathogenicity.
In pediatrics there are very few cases of invasive infection by this organism.
Case reports: A previously healthy 1-year-old girl was admitted due to fever, chills, vomiting and diarrhea. Physical examination revealed pallor, tachycardia, inspiratory crackles in right lung. Her blood tests showed elevation of Erythocytes Sedimentation Rate. Chest X-ray revealed right bronchopneumonia. On blood culture positive growth of P.stutzeri.
The second case introduce a 7-years-old boy, with a history of surgical repair of Vesicoureteral reflux, admitted due to fever, diarrhea, cough and difficulty in walking. Physical examination revealed pain and tenderness in hips. His blood tests only showed elevation of Creatine phosphokinase and Lactate dehydrogenase. On blood culture positive growth of P.stutzeri.
Both children were treated with systemic antibiotics and fluids with complete resolution of symptoms, negative repeated blood cultures and normal immunologic investigations.
Conclusion: We present two cases of P.stutzeri infections in healthy children which were treated successfully with antimicrombial therapy. P.stutzeri infections are mainly reported in immunocompromised adults and children. Isolation from sterile sites should be given serious consideration and administration of appropriate antimicrobial therapy.
