RESUMEN
Pasteurella multocida is a gram-negative coccobacillus bacterium found as a commensal in the oropharynx of domestic animals such as cats and dogs and some farm animals. Soft tissue infections and occasionally bacteremia in immunocompromised patients with direct contact with animals are described. We report a 61 year old male with a history of scratches and close contact with domestic cats, with a septic shock originating from a pulmonary focus, requiring mechanical ventilation and vasopressors. Blood cultures disclosed the presence of Pasteurella multocida. He responded successfully to antimicrobials.
Asunto(s)
Bacteriemia , Infecciones por Pasteurella , Pasteurella multocida , Choque Séptico , Animales , Gatos , Humanos , Masculino , Persona de Mediana Edad , Antibacterianos/uso terapéutico , Bacteriemia/tratamiento farmacológico , Infecciones por Pasteurella/etiología , Infecciones por Pasteurella/microbiologíaRESUMEN
Pasteurella multocida is a gram-negative coccobacillus bacterium found as a commensal in the oropharynx of domestic animals such as cats and dogs and some farm animals. Soft tissue infections and occasionally bacteremia in immunocompromised patients with direct contact with animals are described. We report a 61 year old male with a history of scratches and close contact with domestic cats, with a septic shock originating from a pulmonary focus, requiring mechanical ventilation and vasopressors. Blood cultures disclosed the presence of Pasteurella multocida. He responded successfully to antimicrobials.
Asunto(s)
Humanos , Animales , Masculino , Persona de Mediana Edad , Gatos , Perros , Infecciones por Pasteurella/etiología , Infecciones por Pasteurella/microbiología , Choque Séptico , Pasteurella multocida , Bacteriemia/tratamiento farmacológico , InmunocompetenciaRESUMEN
Pasteurella multocida a small gram-negative coccobacilli is primarily found as normal flora of cats and dogs. These organisms can cause a variety of infections in humans, usually the result of scratches, bites and licks by percutaneous inoculation of the organism. Most cases of septic arthritis involve a cat or dog bite distal to the involved joint without direct penetrating injury to the joint. On scenarios were Pasteurella infection is suspected within a prosthetic joint, aggressive surgical debridement and/or removal of the prosthesis with intravenous antibiotics is recommended. Prosthetic joint infections secondary to animal bites are an extremely rare complication and few cases have been reported in the literature. This is a case report of a patient that suffered a cat's bite of his right prosthetic knee and against all odd was able to save it without surgical intervention.