Pasteurella multocida infectious arthritis with acute gout after a cat bite.
A 74-year-old man with chronic lymphocytic leukemia, immune purpura, and gout presented with a painful, swollen ankle after a cat bite to his leg. On aspiration of the ankle, gram negative pleomorphic rods and monosodium urate crystals were seen and Pasteurella multocida was cultured. He was treated with ampicillin/sulbactam, joint aspiration, and intraarticular steroids, with resolution of infection and return of joint function. The syndromes of Pasteurella arthritis and crystal arthropathy with septic arthritis are reviewed.
Butt
T S
TS
Department of Medicine, University of Connecticut School of Medicine, Farmington, USA.
Khan
A
A
Ahmad
A
A
Khan
M A
MA
Parke
A
A
Hill
D R
DR
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D000843:Ankle Joint / Q000382:microbiology* / Q000473:pathology; D015210:Arthritis, Gouty / Q000382:microbiology* / Q000473:pathology; D001170:Arthritis, Infectious / Q000209:etiology* / Q000473:pathology; D001733:Bites and Stings / Q000382:microbiology*; D002415:Cats; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010326:Pasteurella Infections / Q000209:etiology* / Q000473:pathology; D016979:Pasteurella multocida / Q000302:isolation & purification*