Erysipelas-like cellulitis with Pasteurella multocida bacteremia after a cat bite.
A 73-year-old female patient presented with Pasteurella multocida erysipelas-like cellulitis, bacteremia, and shock. The onset of the disease occurred 24 h after a cat bit her to the right lower leg. Initially, the picture of bacteremia and shock developed, with minimal local cellulitis. Pasteurella multocida grew in blood culture. A combination of amoxicillin and clavulanic acid was therapeutically successful in respect that the signs of bacteremia and shock disappeared. However, extensive erysipelas-like cellulitis developed on the bitten leg within the next 2 days. The disease was efficiently treated with penicillin G combined with netilmicin and administered for 10 days. This report documents the first case of Pasteurella multocida erysipelas-like cellulitis with bacteremia and shock.
Bradarić
N
N
Department of Infectious Diseases, Split University Hospital, Soltanska 1, 21000 Split, Croatia. nikola.bradaric@st.tel.hr
Milas
I
I
Luksić
B
B
Bojcić-Tonkić
M
M
Karanović
J
J
D000368:Aged; D000818:Animals; D016470:Bacteremia / Q000382:microbiology; D001733:Bites and Stings; D002415:Cats; D002481:Cellulitis / Q000382:microbiology; D005260:Female; D006801:Humans; D007866:Leg; D010326:Pasteurella Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016979:Pasteurella multocida / Q000302:isolation & purification; D015047:Zoonoses / Q000382:microbiology