Pasteurella multocida infection of a total hip arthroplasty following cat scratch

Hospital management of animal and human bites

“…Numerous reports of prosthetic joint infections with P. multocida following cat bites have prompted several authors to advocate prophylactic antibiotics. [101][102][103] Overall, the consensus is that prophylaxis should be considered for all bite wounds after primary closure, 104 puncture wounds, cat bites to hand and wrist, clenched fist injuries and crush wounds with devitalized tissue. 2,7 Prophylaxis has also been recommended for patients with medical conditions predisposing to infection after animal bites such as mastectomy, prosthetic joints, diabetes mellitus, immunosuppression and splenectomy.…”

Prosthetic joint infection by cat scratch

“…[2][3][4][5] Our case is the fourth to follow a cat scratch. P. multocida is an oral commensal of dogs and cats, transferred via saliva to the claws when they lick their paws.…”

“…[2][3][4][5] Early suspicion of pasteurella infection is the key to successful joint salvage. A typical case would be a woman with rheumatoid arthritis who gives a history of catrelated trauma.…”

Acute Infection of a Total Hip Arthroplasty by Pasteurella multocida Successfully Treated With Antibiotics and Joint Washout

“…The patient ultimately underwent a one-stage revision left hip and made a full recovery after a further 6 weeks antibiotic treatment. Prosthetic hip infection caused by P. multocida was also reported in a 57-year-old female with rheumatoid arthritis on methotrexate [5]. She presented with pyrexia and leg cellulitis and tender swollen lymph nodes after being scratched by a cat 24 h earlier.…”