title: Fatal multifocal Pasteurella multocida infection: a case report.
abstract: BACKGROUND
  In humans, Pasteurella multocida infections are usually limited to the soft tissues surrounding a lesion. However, P. multocida can also cause systemic infections (such as pneumonia, lung abscess, peritonitis, endocarditis, meningitis and sepsis)-especially in patients with other underlying medical conditions.
  
  
  METHODS
  We report on a case of fulminant P. multocida bacteremia at several sites (soft tissues, endocarditis and joints) on a white European man. Despite surgery and intensive medical care, the patient died.
  
  
  CONCLUSIONS
  The present case emphasizes the importance of appropriate initial treatment of skin wounds. Patients at risk should be aware of the possible consequences of being bitten, scratched or licked by their pet.
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Amiens University Medical Center, Amiens, France. guilbi@hotmail.fr.|Département d'Anesthésie-Réanimation, CHU d'Amiens Picardie, 80054, Amiens cedex, France. guilbi@hotmail.fr.
authors.forename: Mathieu
authors.initials: M
authors.lastname: Guilbart
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Amiens University Medical Center, Amiens, France. zogheib.elie@chu-amiens.fr.|INSERM UMR 1088, Jules Verne University of Picardy, Amiens, France. zogheib.elie@chu-amiens.fr.
authors.forename: Elie
authors.initials: E
authors.lastname: Zogheib
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Amiens University Medical Center, Amiens, France. mr.hchikat@hotmail.fr.
authors.forename: Abdel Hakim
authors.initials: AH
authors.lastname: Hchikat
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Amiens University Medical Center, Amiens, France. g_kalandra@hotmail.com.
authors.forename: Kahina
authors.initials: K
authors.lastname: Kirat
authors.affiliation: Department of Orthopedic Surgery, Amiens University Medical Center, Amiens, France. ferraz.linda@chu-amiens.fr.
authors.forename: Linda
authors.initials: L
authors.lastname: Ferraz
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Beauvais Medical Center, Beauvais, France. Guerinrobardey.annemarie@ch-beauvais.fr.
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Guerin-Robardey
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Beauvais Medical Center, Beauvais, France. trojette.faouzi@chu-amiens.fr.
authors.forename: Faouzi
authors.initials: F
authors.lastname: Trojette
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Amiens University Medical Center, Amiens, France. moubarak.mona@chu-amiens.fr.
authors.forename: Mona
authors.initials: M
authors.lastname: Moubarak-Daher
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Amiens University Medical Center, Amiens, France. dupont.herve@chu-amiens.fr.|INSERM UMR 1088, Jules Verne University of Picardy, Amiens, France. dupont.herve@chu-amiens.fr.
authors.forename: Hervé
authors.initials: H
authors.lastname: Dupont
mesh_terms: D000368:Aged; D000818:Animals; D016470:Bacteremia / Q000150:complications / Q000382:microbiology / Q000473:pathology*; D004285:Dogs; D004697:Endocarditis, Bacterial / Q000150:complications / Q000382:microbiology / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D010326:Pasteurella Infections / Q000150:complications / Q000382:microbiology / Q000473:pathology*; D016979:Pasteurella multocida / Q000254:growth & development / Q000472:pathogenicity*; D012772:Shock, Septic / Q000150:complications / Q000382:microbiology / Q000473:pathology*