title: Fatal fulminant sepsis due to a cat bite in an immunocompromised patient.
abstract: Pasteurella multocida infections in humans can present as localized infections of soft tissues surrounding the lesions, as respiratory tract infections or as systemic infections with slow or fulminant development. Over 90% of human infections are cases of wound infections or abscesses related to a bite, scratch, or licking of skin lesions by a cat or dog. Severe systemic diseases such as pneumonia, lung abscess, peritonitis, endocarditis, meningitis and sepsis are also well known, especially in patients with underlying medical conditions. In this paper we report on an immunocompromised patient who was bitten by an unknown cat and very quickly developed fulminant sepsis, dying 70 hours after the cat bite, despite all the intensive care, therapy and reanimation he was given. Unfortunately, he asked for medical help too late. We emphasize the need for primary healthcare to provide more information to patients at risk of infections from contact with animals and to warn them about the possible consequences of injuries, even when the animals are pets.
authors.affiliation: Clinical Hospital Osijek, Department of Anesthesiology, Reanimatology and Intensive Care Unit, Osijek, Croatia. ivanahd@vip.hr
authors.forename: Ivana Harsanji
authors.initials: IH
authors.lastname: Drenjancevic
authors.forename: Dubravka
authors.initials: D
authors.lastname: Ivic
authors.forename: Domagoj
authors.initials: D
authors.lastname: Drenjancevic
authors.forename: Josip
authors.initials: J
authors.lastname: Ivic
authors.forename: Boris
authors.initials: B
authors.lastname: Pelc
authors.forename: Dubravka
authors.initials: D
authors.lastname: Vukovic
mesh_terms: D000818:Animals; D001733:Bites and Stings / Q000150:complications* / Q000276:immunology*; D002415:Cats / Q000276:immunology*; D017809:Fatal Outcome; D006801:Humans; D016867:Immunocompromised Host / Q000276:immunology*; D008297:Male; D008875:Middle Aged; D010326:Pasteurella Infections / Q000209:etiology* / Q000276:immunology* / Q000382:microbiology; D016979:Pasteurella multocida