Pasteurella multocida epiglottitis.
Pasteurella multocida, a small gram-negative coccobacillus, colonizes the nasopharynx and gastrointestinal tract of many animals, including cats and dogs. Most human infections with P multocida are due to animal bites, but the respiratory tract is the second most common site of infection. We describe the third case report (to out knowledge) of acute P multocida epiglottitis. The mode of transmission in this case was inhalation of infectious nasopharyngeal secretions from cats. The patient responded well to treatment with penicillin, the drug of choice for P multocida infections. Therefore, infection with P multocida, though rare, should be considered in the differential diagnosis in any case involving acute epiglottitis and exposure to cats.
Wine
N
N
Department of Medicine, Veterans Affairs San Diego Healthcare System, Calif. 92161, USA.
Lim
Y
Y
Fierer
J
J
D000208:Acute Disease; D000818:Animals; D002415:Cats; D004199:Disease Vectors; D004359:Drug Therapy, Combination; D004826:Epiglottitis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010326:Pasteurella Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000635:transmission; D016979:Pasteurella multocida / Q000302:isolation & purification