Pseudomonas aeruginosa is a gram-negative bacillus found in soil, water, and plants that can cause opportunistic infections in humans. It is intrinsically resistant to many antibiotics and can acquire additional resistance. P. aeruginosa commonly causes nosocomial infections through growth in water sources like IV tubing. It produces toxins and enzymes that contribute to pathogenesis and can cause both localized infections like pneumonia or bacteremia as well as systemic illness.