Pasteurella Multocida Peritonitis after Cat Scratch in a Patient with Cirrhotic Ascites

Abstract

Pasteurella multocida, a zoonotic agent transmitted by canines and felines, has been very rarely reported to cause bacterial peritonitis in humans. Pasteurella multocida peritonitis is associated with high mortality even with appropriate treatment, therefore its early recognition is essential. We report a case of Pasteurella multocida peritonitis following cat scratch in a patient with Child Pugh Class C alcoholic cirrhosis, culminating in multiple organ failure and death

Supervivencia de Pasteurella multocida aislada de conejo a la lisis inducida por el sistema complemento

“…Los aislados de P. multocida tipo capsular A de todas las especies son sensibles a una amplia gama de antibióticos como el florfenicol, el trimetoprima-sulfametoxazol y las penicilinas (Gunathilake et al, 2015). Contrario a lo anterior, se reporta que los aislados de bovinos, muestran una marcada resistencia a la penicilina G, estreptomicina, oxitetraciclina, ampicilina y tiamfenicol (Jamali et al, 2014), y son susceptibles a la amoxicilina, amikacina, cefazolina, ceftiofur, cefquinoma, cloranfenicol, enrofloxacina, florfenicol y kanamicina (Jamali et al, 2014;Bourély et al, 2019).…”

Peritonitis Secondary to Uncommon Gram-Negative Coccobacillus Transmitted From a Cat in a Patient on Peritoneal Dialysis

“…36 Invasive infections are more common in immunocompromised patients including cirrhosis, alcoholism, malignancy, diabetes mellitus, human immune virus deficiency infection, chronic pulmonary disease, and chronic kidney disease. 37 Life-threatening infections reported including infective endocarditis and sepsis. 36…”

“…36 Invasive infections are more common in immunocompromised patients including cirrhosis, alcoholism, malignancy, diabetes mellitus, human immune virus deficiency infection, chronic pulmonary disease, and chronic kidney disease. 37 Life-threatening infections reported including infective endocarditis and sepsis. 36 Patients doing continuous ambulatory PD are less prone to develop peritonitis from P multocida compared with patients on continuous cyclic PD because of fewer chances for the pets to come in contact with the dialysis bags and tubing.…”

Pasteurella multocida Bacteremia and Peritonitis in a Patient With Cirrhosis: A Life-Threatening Case From a Prick of a Cactus

“…Of the cirrhotic cases, the outcomes have ranged from complete resolution to death. 8,9 Quite rare there are a few documented accounts of indirect exposures to animals that resulted in severe P multocida infection in patients with cirrhosis. Of those, patients presented with bacteremia, arthritis, pneumonia, or peritonitis.…”