Cat-Bite Peritonitis: Pasteurella Multocida Peritonitis Following Feline Contamination of Peritoneal Dialysis Tubing

A case of Pasteurella multocida peritoneal dialysis-associated peritonitis and review of the literature

“…may cause infected animal bites, cellulitis and The first reported case of pasteurella PD peritonitis was by Paul and Rostand in 1987 who described a patient on intermittent PD, who developed Pasteurella multocida infection following damage to the dialysis tubing by a cat bite or scratch. 4 Since then, there have been about a dozen case reports of pasteurella PD peritonitis, most of which also describe direct trauma to the tubing. 3,5-8 However, there are reports of pasteurella infection occurring without animal bites or scratches, and also of spontaneous pasteurella peritonitis in cirrhotic patients or those with a history of alcohol addiction.…”

<i>Pasteurella multocida</i> as a Rare Cause of Peritonitis in Peritoneal Dialysis

“…Spontaneous peritonitis has been mentioned, most often in patients with underlying cirrhosis of the liver or with a history of ethanol addiction [9][10][11]. Until now, 7 previous reports of P. multocida peritonitis in CAPD have been described [9,[12][13][14][15][16][17][18]. Table 1 shows that usually the cat is the carrier animal.…”

“…Penicillin is considered the treatment of choice for Pasteurella infections [19]. Other effective agents include tetracycline, cefuroxime, amoxicillin-clavulanic acid, ampicillin-sulbactam; however, resistance against some of these substances has been described [13].…”

Pasteurella multocida Peritonitis following Cat Bite of Peritoneal Dialysis Tubing

“…Since Paul and Rostand [3] reported the 1st case of P. multocida peritonitis, in a patient with ESRD who was maintained on intermittent peritoneal dialysis and had sustained a cat bite or scratch penetrating her peritoneal dialysis tubing, there have been 3 additional cases [4][5][6] reported in the literature. Our patient represents the 5th such case occurring in peritoneal dialysis patients.…”