title: Prolonged incubation period in neonatal Pasteurella multocida meningitis and bacteremia.
abstract: Pasteurella multocida, often found as part of the human oral flora and in finger/toenails, also exists in many animals, especially cats, dogs, and pigs. Although rare, pasteurella infection in neonates can cause serious systemic disease, such as meningitis. In this article, a 23-day-old girl presented with decreased appetite and irritability for >2 days. Eighteen days previously her pet cat had jumped onto the left side of her head while she was sleeping. On laboratory data C-reactive protein was high, and on cerebrospinal fluid (CSF) analysis leukocyte count was extremely high, with low glucose and high protein. P. multocida grew out of the blood and CSF cultures, and she was successfully treated with antibiotics for 3 weeks. Although pasteurellosis rarely occurs, it can sometimes lead to life-threatening situations, so parents should exercise caution when having pets around their children.
authors.affiliation: Department of Pediatrics, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamaguchi
authors.affiliation: Department of Pediatrics, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
authors.forename: Takuya
authors.initials: T
authors.lastname: Tamura
authors.affiliation: Department of Pediatrics, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
authors.forename: Michiko
authors.initials: M
authors.lastname: Abe
authors.affiliation: Department of Pediatrics, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
authors.forename: Shigetoshi
authors.initials: S
authors.lastname: Ogiwara
authors.affiliation: Department of Pediatrics, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
authors.forename: Shuji
authors.initials: S
authors.lastname: Sai
authors.affiliation: Department of Pediatrics, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
authors.forename: Kiyotaka
authors.initials: K
authors.lastname: Kosugiyama
authors.affiliation: Department of Pediatrics, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
authors.forename: Akemi
authors.initials: A
authors.lastname: Sugihara
authors.affiliation: Department of Pediatrics, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Nagumo
authors.affiliation: Department of Pediatrics, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
authors.forename: Seido
authors.initials: S
authors.lastname: Iwata
authors.affiliation: Department of Pediatrics, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Kinugawa
mesh_terms: D000818:Animals; D016470:Bacteremia / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D002415:Cats; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D016920:Meningitis, Bacterial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D010326:Pasteurella Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016979:Pasteurella multocida
keywords: Pasteurella multocida; meningitis; newborn