Pasteurella Multocida Bacteremia and Septic Arthritis in a Patient With Non-Bite Animal Exposure

Leonhardt, Lex P; Pervez, Aamir; Tang, Wesley

doi:10.7759/cureus.14162

Cited by 5 publications

(6 citation statements)

References 5 publications

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“…He denied obtaining any scratches or bites from the pets. As reported by others in similar cases with no inciting bites or scratches from pets, we believe that respiratory droplets or saliva from the patient's pets entered through the patient's left lower extremity into the patient's circulatory system, leading to bacteremia [6,7].…”

Section: Introductionsupporting

confidence: 74%

“…Pasteurella bacteremia should be considered in individuals with soft tissue infections, especially those with pet exposure and underlying comorbidities such as diabetes, cirrhosis, hypertension, malignancy, and immunosuppressed states [ 5 , 8 , 9 ]. It is important to note that individuals do not need to have a reported history of bites or scratches from animals, as bacteremia has been seen in those with no reported history of traumatic pet contact [ 6 ]. Clinicians must diligently inquire about all animal contact a patient has had, and not necessarily just animal-inflicted injuries [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

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More Than a Case of Cellulitis: Pasteurella multocida Bacteremia

Barsi¹,

Allen²,

Meza³

2023

Cureus

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Pasteurella multocida ( P. multocida ) is an anaerobic Gram-negative coccobacilli belonging to the Pasteurella genus. It is found in many animals' oral cavities and gastrointestinal tracts, including those of cats and dogs. In this case report, we present an individual with cellulitis of the lower extremity who was later found to have P. multocida bacteremia. The patient had four pet dogs and one pet cat. He denied obtaining any scratches or bites from the pets. The patient initially presented to an urgent care center complaining of a one-day history of proximal left lower extremity edema, erythema, and pain. He was diagnosed with left leg cellulitis and discharged home on antibiotics. Three days after the patient was discharged home from the urgent care center, blood cultures returned positive for P. multocida . The patient was then admitted for inpatient treatment with intravenous antibiotics. Clinicians should always ask about domestic and wild animal exposure, even in the absence of bites or scratches. In the immunocompromised patient presenting with cellulitis, clinicians should consider the possibility of P. multocida bacteremia in those with pet exposure.

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Section: Introductionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

More Than a Case of Cellulitis: Pasteurella multocida Bacteremia

Barsi¹,

Allen²,

Meza³

2023

Cureus

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“…A PubMed search on P. multocida infections discloses case reports with a variety of manifestations including septic arthritis, necrotising fasciitis, osteomyelitis, septic shock, meningitis, endocarditis and severe respiratory tract infections [10,11,12,13,14]. Infections of prosthetic material, dialysis catheters or long-term central venous lines are rare [15], as are cases of P. multocida bacteremia, which have only been described in patients with liver dysfunction or with immunosuppression.…”

Section: Discussionmentioning

confidence: 99%

Elderly and their companion animals, cause for pleasure or for harm, a case report of a non- bite Pasteurella multocida bacteremia in an 85 year old woman

Ali¹,

Tytgat

Vergote

et al. 2023

Preprint

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We present a case of an elderly woman suffering from Pasteurella multocida (P. multocida) bacteremia, without obvious bite marks, but owning a pet dog. Although the patient was not immunocompromised, and prompt treatment with antibiotics was initiated, she developed severe septic shock with multiple organ failure and died. In healthy individuals, an infection caused by this bacteria is easy to treat and often harmless, whereas in elderly serious complications can occur. To our knowledge, this is the first report of a fatal outcome of a P. multocida bacteremia in a non-immunocompromised, yet elderly patient. Given the growing cohort of elderly pet-owners seeking medical care, a heightened awareness of zoonosis and its potential fatal outcome is warranted.

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“…P. multocida has been associated with a wide range of infection syndromes, including septic arthritis, necrotising fasciitis, osteomyelitis, septic shock, meningitis, endocarditis and severe respiratory tract infections [ 12 – 16 ]. Infections of prosthetic material, dialysis catheters or long-term central venous lines are rare but require our attention [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Elderly and their companion animals, cause for pleasure or for harm, a case report of a non-bite Pasteurella multocida bacteremia in an 85-year-old woman with a fatal outcome

Ali,

Tytgat,

Vergote

et al. 2023

BMC Geriatr

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We present a case of an elderly woman suffering from Pasteurella multocida (P. multocida) bacteremia, without obvious bite marks, but owning a pet dog. Although the patient was not immunocompromised, and prompt treatment with intravenous antibiotics was initiated, she developed severe septic shock with multiple organ failure and died. In healthy individuals, an infection caused by these bacteria is easy to treat and often harmless, whereas in elderly serious complications can occur. We believe this report of a fatal outcome of a P. multocida bacteremia in a non-immunocompromised, but elderly patient is important, given the growing cohort of elderly pet-owners seeking medical care. A greater awareness of this zoonosis and its potentially fatal outcome is warranted.

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Pasteurella Multocida Bacteremia and Septic Arthritis in a Patient With Non-Bite Animal Exposure

Cited by 5 publications

References 5 publications

More Than a Case of Cellulitis: Pasteurella multocida Bacteremia

More Than a Case of Cellulitis: Pasteurella multocida Bacteremia

Elderly and their companion animals, cause for pleasure or for harm, a case report of a non- bite Pasteurella multocida bacteremia in an 85 year old woman

Elderly and their companion animals, cause for pleasure or for harm, a case report of a non-bite Pasteurella multocida bacteremia in an 85-year-old woman with a fatal outcome

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