title: Erysipelas-like cellulitis with Pasteurella multocida bacteremia after a cat bite.
abstract: 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.
authors.affiliation: Department of Infectious Diseases, Split University Hospital, Soltanska 1, 21000 Split, Croatia. nikola.bradaric@st.tel.hr
authors.forename: N
authors.initials: N
authors.lastname: Bradarić
authors.forename: I
authors.initials: I
authors.lastname: Milas
authors.forename: B
authors.initials: B
authors.lastname: Luksić
authors.forename: M
authors.initials: M
authors.lastname: Bojcić-Tonkić
authors.forename: J
authors.initials: J
authors.lastname: Karanović
mesh_terms: 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