[Case report: a bacteremic pasteurellosis].
Bacteremic pasteurellosis is an uncommon form of Pasteurella multocida infection, usually involved in local infections. This systemic infection often occurs in immuno-compromised patient such as cirrhotic or alcoholic patients, with a high mortality rate (up to 60%). Septic shock may occur and neurological disorders or coma are frequent. We report such a case. Treatment associated local care, antibiotics (beta-lactam antibiotics plus fluoroquinolone) during 14 days and resuscitation of septic shock. Owing these therapies, septic shock was successfully treated without complications.
Schoeffler
M
M
Service de réanimation, pavillon G, département d'anesthésie-réanimation, hôpital Edouard-Herriot, Lyon, France. m.schoeffler@tiscali.fr
Crozon
J
J
Levrat
A
A
Guillaume
C
C
Floccard
B
B
Allaouchiche
B
B
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D024841:Fluoroquinolones / Q000627:therapeutic use; D015600:Glasgow Coma Scale; D006801:Humans; D016867:Immunocompromised Host; D008590:Meningoencephalitis / Q000150:complications / Q000382:microbiology; D010326:Pasteurella Infections / Q000097:blood / Q000188:drug therapy* / Q000382:microbiology; D016979:Pasteurella multocida; D013902:Radiography, Thoracic; D012772:Shock, Septic / Q000097:blood / Q000188:drug therapy* / Q000382:microbiology
D000900:Anti-Bacterial Agents; D024841:Fluoroquinolones