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Ventilator-associated cavitary pneumonia after lung contusion: a case report

Alireza Rahat Dahmardeh, Aliakbar Keykha

Journal of Medical Case Reports, 2025

Abstract

Ventilator-associated cavitary pneumonia is common with Streptococcus pneumoniae, Staphylococcus aureus, Klebsiella pneumoniae, Haemophilus influenzae, and Pseudomonas aeruginosa. Escherichia coli-associated cavitary pneumonia is a rare condition primarily observed in immunocompromised patients. This report details a case of ventilator-associated cavitary pneumonia caused by multidrug-resistant Escherichia coli in a 27-year-old man of Iranian Baluch ethnicity who developed pulmonary contusion and subdural/subarachnoid hemorrhage after trauma. E. coli is an emerging cause of ventilator-associated pneumonia and should be included in the differential diagnosis of cavitary pneumonia.

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