title: Pasteurella multocida bacterial meningitis caused by contact with pigs.
abstract: Pasteurella multocida belongs to the normal flora of the respiratory and digestive tract of many animals. Animal exposure is a considerable risk factor for Pasteurella infection. P. multocida is the most common cause of local infection after an animal bite but is an unusual cause of meningitis. We present a case of bacterial meningitis by P. multocida in a 37-year-old man who worked in a pig farm and was bitten by a pig. The patient had a defect located in the lamina cribosa and this lesion could be the gateway of the infection, although in this case the infection could also be acquired through the pig bite. The bacteria was identified as P. multocida with the biochemical test API 20E (bioMérieux). In agreement with findings in the literature, the strain was susceptible in vitro to penicillin, ampicillin, cefotaxime, ceftriaxone ciprofloxacin, levofloxacin, imipenem and tetracycline.
authors.affiliation: Servicio de Microbiología, Hospital de Barbastro, Carretera de Tarragona-San Sebastián, Barbastro, Huesca, Spain.
authors.forename: C
authors.initials: C
authors.lastname: López
authors.forename: P
authors.initials: P
authors.lastname: Sanchez-Rubio
authors.forename: A
authors.initials: A
authors.lastname: Betrán
authors.forename: R
authors.initials: R
authors.lastname: Terré
mesh_terms: D000822:Animal Husbandry; D000818:Animals; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis* / Q000382:microbiology; D008826:Microbial Sensitivity Tests; D016273:Occupational Exposure; D010326:Pasteurella Infections / Q000175:diagnosis* / Q000382:microbiology; D016979:Pasteurella multocida / Q000302:isolation & purification*; D013552:Swine
chemical_list: D000900:Anti-Bacterial Agents
keywords: Pasteurella multocida; bacterial meningitis