First case of non-traumatic community-acquired Pseudomonas fulva infection.

Pseudomonas fulva is a rare human pathogen associated with invasive procedures and trauma. An 85-year-old female presented with macroscopic hematuria, dysuria, and lower abdominal discomfort. The symptoms disappeared within three days of empirical antibiotic treatment. A bacterial isolate from urine was identified by MALDI-TOF as P. ​fulva. Computed tomography, cystoscopy, and urinary bladder lavage cytology failed to identify any bleeding source or malignancy. Awareness of possible P. ​fulva infections also in the absence of trauma and invasive procedures is warranted. Intravenous broad-spectrum antibiotics is recommended for invasive or more severe cases of suspected or confirmed P. ​fulva infection.