[Maternal and neonatal Pasteurella multocida infection].
BACKGROUND
Materno-fetal infection due to Pasteurella multocida is rare; it may be severe in the neonate.


METHODS
A 27-year old woman was admitted at 37 weeks' gestation with a history of abdominal cramps. Twenty-four hours after delivery, the mother was febrile (40 degrees C) and was given intravenous cefotaxime (2 days), followed by cefpodoxime (15 days). The newborn was febrile and hypotonic 24 hours after birth; he received an infusion of hydroxyethylamidon and was given cefotaxime (3 days), netilmicin (6 days) and amoxicillin (10 days). Pasteurella multocida was isolated from placenta, blood and gastric fluid in the baby and in blood cultures and vaginal swab in the mother. It was established that the mother was bitten by her dog during the pregnancy and wounded a few days before delivery.


CONCLUSIONS
This neonate was infected during the delivery and the source of mother's contamination was easy to determinate: pet animals were kept by the family and there was an history of wounds during her pregnancy.
Escande
F
F
Laboratoire des Pasteurella, CIP, Institut Pasteur, Paris, France.
Borde
M
M
Pateyron
F
F
D000328:Adult; D000658:Amoxicillin / Q000627:therapeutic use; D000818:Animals; D001733:Bites and Stings / Q000382:microbiology; D002439:Cefotaxime / Q000627:therapeutic use; D015296:Ceftizoxime / Q000031:analogs & derivatives / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D004285:Dogs; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009428:Netilmicin / Q000627:therapeutic use; D010326:Pasteurella Infections / Q000188:drug therapy / Q000635:transmission*; D016979:Pasteurella multocida; D010406:Penicillins / Q000627:therapeutic use; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000188:drug therapy / Q000382:microbiology*; D015047:Zoonoses; D000097623:Cefpodoxime
D000658:Amoxicillin; D002439:Cefotaxime; D015296:Ceftizoxime; D002511:Cephalosporins; D005839:Gentamicins; D009428:Netilmicin; D010406:Penicillins; D000097623:Cefpodoxime
Infection maternelle et néonatale à pasteurella multocida.