Unusual Etiology of Pasteurella canis Biovar 2 Causing Dacryocystitis in HIV Patient: A Case Report and Review of Literature

Negi, Sanjay Singh; Mehta, Rupa; Gade, Neeta

doi:10.7860/jcdr/2017/22302.9388

Cited by 4 publications

(3 citation statements)

References 13 publications

(5 reference statements)

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“…For septic arthritis, prosthetic joint increases the risk of infection [ 2 ]. Specifically, in infection due to Pasteurella canis, there are reports in diabetic [ 3 , 4 ] and immunocompromised patients [ 5 , 10 , 16 ]. Our patient had risk factors like advanced age and a history of diabetes but she had no knee prosthetics.…”

Section: Discussionmentioning

confidence: 99%

“…Human infection by Pasteurella canis is rare and there are reported cases of soft tissue infections [3][4][5][6][7], bacteremia [5,[7][8][9], eye infections [10,11], respiratory infection [8,9,12], septic arthritis [13,14], osteomyelitis [3,15], gastrointestinal infection [16], breast implant infection [17], and peritonitis [18]. The first-line treatment is with penicillins and alternatively with fluoroquinolone, doxycycline, or trimethoprimsulfamethoxazole [1].…”

Section: Introductionmentioning

confidence: 99%

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Septic Arthritis and Bacteremia Due to Infection by Pasteurella canis

Nascimento¹,

Gomes²,

Coelho³

et al. 2021

Cureus

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Pasteurella canis is a Gram-negative coccobacilli from the Pasteurellaceae family. The most common form of transmission to humans is a bite from a dog or a cat. We report a case of a 90-year-old woman who presented with septic arthritis in the right knee and bacteremia two weeks after a cat bite. The patient was treated with arthrocentesis and directed antimicrobial therapy. Human Pasteurella canis infection is a rare occurrence, making this a case of note.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Septic Arthritis and Bacteremia Due to Infection by Pasteurella canis

Nascimento¹,

Gomes²,

Coelho³

et al. 2021

Cureus

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“…The second study identified P canis as an important cause of conjunctivitis outbreak that was resistant to empirical treatment in a pediatric agency [8] . Lastly, ocular adnexal infection in the form of P canis dacryocystitis in a human immunodeficiency virus (HIV) positive patient was reported [9] . These cases seem to imply that immune naïve (newborns, and pediatric patients), and immunocompromised patients may be at increased risk for invasive infection.…”

Section: Discussionmentioning

confidence: 99%

Medical and surgical management of Pasteurella canis infectious keratitis

Shah

Talati

Mauger

2017

IDCases

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IntroductionWe describe a case of refractory Pasteurella Canis keratitis that initially failed antimicrobial treatment but was successfully treated with a conjunctival flap followed by a penetrating keratoplasty.Case discussionA 70-year-old male had persistent corneal edema related to previous herpes zoster keratouveitis with visual acuity of 20/400. An endothelial keratoplasty was performed with improvement in vision to 20/25. Several months after this surgery the patient developed a corneal infiltrate and cultures grew Pasturella canis. The infection persisted despite topical treatment with broad spectrum fortified vancomycin, tobramycin and fluoroquinolones. A conjunctival flap combined with corneal cryotherapy was performed to help mitigate symptoms and to allow the ulcer to heal. A penetrating keratoplasty was done several months later.DiscussionThe patient achieved pain relief immediately after the flap was placed. Medications were tapered off in the following few months after the procedure. A penetrating keratoplasty was performed 4 months later. The patient has remained almost entirely symptom free, and the graft remained clear one year after surgery.ConclusionsA keratitis caused by Pasteurella canis that is resistant to medical therapy can be treated successfully with a conjunctival flap and cryotherapy followed by a penetrating keratoplasty.

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