Pasteurella multocida infection in a cirrhotic patient: case report, microbiological aspects and a review of literature.
Pasteurellosis is a zoonosis often caused by cat or dog bites or scratches, or by direct exposure to their secretions. Pasteurella multocida is the main pathogen involved in infections through domestic animal bites; generally a local infection characterized by its particular virulence with consequent rapid onset. Serious infection has also been reported in persons affected by comorbidity without domestic animal bite injuries. Here we report the case of a woman with lower limb exudating vesicular skin ulcers affected by liver cirrhosis, bilateral knee arthritis, septicemia with positive blood culture and synovial fluid culture for Pasteurella multocida. The etiology of Pasteurella multocida must be borne in mind in cases of sepsis in immunodeficient individuals, such as the cirrhotic patient, as well as exposure to domestic animals.
Department of Internal Medicine, Azienda Ospedaliera S. Croce e Carle, Cuneo, Italy. elena.migliore@agx.it
E
E
Migliore
C
C
Serraino
C
C
Brignone
D
D
Ferrigno
A
A
Cardellicchio
F
F
Pomero
E
E
Castagna
M
M
Osenda
L
L
Fenoglio
D000368:Aged; D000818:Animals; D000829:Animals, Domestic / Q000382:microbiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000382:microbiology; D004285:Dogs; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008103:Liver Cirrhosis / Q000150:complications* / Q000382:microbiology; D035002:Lower Extremity; D009894:Opportunistic Infections / Q000635:transmission; D010326:Pasteurella Infections / Q000150:complications* / Q000188:drug therapy / Q000276:immunology; D016979:Pasteurella multocida; D018805:Sepsis / Q000209:etiology; D012883:Skin Ulcer / Q000150:complications* / Q000382:microbiology; D013582:Synovial Fluid / Q000382:microbiology
D000900:Anti-Bacterial Agents