Hot tub culture. (Indications).(man acquires necrotizing pneumonia from bacteria in hot tub)

A case of community-acquired necrotizing pneumonia in an otherwise healthy 40-year-old man puzzled physicians--until they found a clue in his hot tub. The man had fever and chills, and he coughed up blood and rust-colored sputum, so emergency physicians initially isolated him for possible tuberculosis. A sputum culture showed a high level of Pseudomonas aeruginosa, with some Escherichia coli. The man said he owned a hot tub, and he recalled choking on the water. A culture of fluid …