Peritonitis associated with Pasteurella multocida: molecular evidence of zoonotic etiology.
A patient on continuous cyclic peritoneal dialysis for chronic kidney disease due to type 2 diabetes mellitus developed peritoneal dialysis-associated peritonitis induced by Pasteurella multocida that was isolated from a sample of dialysis effluent. The route of infection was unknown for this case; however, P. multocida was also isolated from a culture of a pharyngeal swab obtained from the patient's cat. There was no evidence that the cat had bitten and ruptured the peritoneal dialysis tubing or bags. Pulsed-field gel electrophoresis (PFGE) showed that the P. multocida isolated from the patient was completely identical to the strain isolated from the domestic cat. As there is a rise in the pet-keeping population, an increase in zoonoses is to be expected. It is necessary to be carefully informed of hygiene rules in keeping pets because a pet may transmit zoonoses, even on casual contact.
Satomura
Atsushi
A
Division of Laboratory Medicine, Department of Pathology and Microbiology, Nihon University School of Medicine, Itabashi-ku, Tokyo, Japan. atsushis@med.nihon-u.ac.jp
Yanai
Mitsuru
M
Fujita
Takayuki
T
Arashima
Yasutomo
Y
Kumasaka
Kazunari
K
Nakane
Chie
C
Ito
Ken
K
Fuke
Yoshinobu
Y
Maruyama
Takashi
T
Maruyama
Noriaki
N
Okada
Kazuyoshi
K
Nakayama
Tomohiro
T
Matsumoto
Koichi
K
D000818:Animals; D002415:Cats; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D016521:Electrophoresis, Gel, Pulsed-Field; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010326:Pasteurella Infections / Q000382:microbiology / Q000635:transmission*; D016979:Pasteurella multocida / Q000302:isolation & purification; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010538:Peritonitis / Q000209:etiology / Q000382:microbiology*; D015047:Zoonoses / Q000382:microbiology / Q000635:transmission