Pasteurella multocida meningitis and cervical spine osteomyelitis in a neonate.
A 20-day-old male infant presented with fever, decreased alertness and quadriparesis as a result of Pasteurella multocida meningitis and C1-2 vertebral osteomyelitis. Although his household contained 2 pet cats, there was no history of bites, scratches or licks. We speculate that colonization of the nasopharynx was followed by contiguous spread to the retropharyngeal soft tissue, cervical vertebrae and meninges.
Hirsh
Denton
D
Department of Pediatrics, University of British Columbia, Vancouver, Canada.
Farrell
Kevin
K
Reilly
Chris
C
Dobson
Simon
S
D000900:Anti-Bacterial Agents; D016470:Bacteremia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D002574:Cervical Vertebrae; D004359:Drug Therapy, Combination; D004636:Emergency Service, Hospital; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007262:Infusions, Intravenous; D008279:Magnetic Resonance Imaging; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D010019:Osteomyelitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D010326:Pasteurella Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D016979:Pasteurella multocida / Q000302:isolation & purification*; D018570:Risk Assessment; D012720:Severity of Illness Index; D013122:Spinal Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents