title: [Pasteurella multocida bacteremic meningitis].
abstract: Human infections by Pasteurella multocida are usually associated with bites or scratches from dogs and cats. Many of them are accompanied by other oropharyngeal microorganisms of these animals. We herein present a case of bacteremic meningitis by P. multocida in an 86-year-old woman who was living with seven cats. Even though no skin or soft tissue infection was recorded, it is possible that a mild infection had gone undetected and a subsequent bacteremia had impacted on the meninges, or that meningitis could have occurred after nasopharyngeal colonization (not demonstrated). The isolates obtained from blood cultures and cerebrospinal fluid were identified as P. multocida by API 20NE, API 20E, and Vitek 1. In agreement with findings in the literature, this strain was susceptible to penicillin, cefotaxime, levofloxacin and tetracyclines.
authors.affiliation: Servicio de Microbiología del Hospital Naval Cirujano Mayor Dr. Pedro Mallo, Patricias Argentinas 351 (1405) Ciudad Autónoma de Buenos Aires, Argentina. rnsoloaga@yahoo.com
authors.forename: R
authors.initials: R
authors.lastname: Soloaga
authors.forename: N
authors.initials: N
authors.lastname: Carrión
authors.forename: J
authors.initials: J
authors.lastname: Pidone
authors.forename: M
authors.initials: M
authors.lastname: Suar
authors.forename: A
authors.initials: A
authors.lastname: Salinas
authors.forename: L
authors.initials: L
authors.lastname: Guelfand
authors.forename: V
authors.initials: V
authors.lastname: Alvarez
authors.forename: A
authors.initials: A
authors.lastname: Margari
authors.forename: D
authors.initials: D
authors.lastname: Cococcella
mesh_terms: D000369:Aged, 80 and over; D000667:Ampicillin / Q000627:therapeutic use; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000382:microbiology*; D002371:Cat Diseases / Q000382:microbiology; D002415:Cats / Q000382:microbiology; D002443:Ceftriaxone / Q000627:therapeutic use; D003907:Dexamethasone / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D016920:Meningitis, Bacterial / Q000382:microbiology*; D010326:Pasteurella Infections / Q000382:microbiology* / Q000635:transmission / Q000662:veterinary; D016979:Pasteurella multocida / Q000187:drug effects / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone; D000667:Ampicillin; D003907:Dexamethasone