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Infective Exacerbation of Pasteurella multocida

An 89-year-old lady presented with a one-day history of shortness of breath as well as a cough productive of brown sputum. Her medical history was significant for chronic obstructive pulmonary disease (COPD). She was in severe type one respiratory failure and blood tests revealed markedly raised inf...

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Detalles Bibliográficos
Autores principales: Hamada, Mayumi, Elshimy, Noha, Abusriwil, Hatem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4752973/
https://www.ncbi.nlm.nih.gov/pubmed/26942025
http://dx.doi.org/10.1155/2016/2648349
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author Hamada, Mayumi
Elshimy, Noha
Abusriwil, Hatem
author_facet Hamada, Mayumi
Elshimy, Noha
Abusriwil, Hatem
author_sort Hamada, Mayumi
collection PubMed
description An 89-year-old lady presented with a one-day history of shortness of breath as well as a cough productive of brown sputum. Her medical history was significant for chronic obstructive pulmonary disease (COPD). She was in severe type one respiratory failure and blood tests revealed markedly raised inflammatory markers; however her chest X-ray was clear. On examination there was bronchial breathing with widespread crepitations and wheeze. She was treated as per an infective exacerbation of COPD. Subsequent blood cultures grew Pasteurella multocida, a common commensal in the oropharynx of domesticated animals. The patient was then asked about any contact with animals, after which she revealed she had a dog and was bitten on her left hand the day before admission. We should not forget to enquire about recent history of injuries or animal bites when patients present acutely unwell. She made a complete recovery after treatment with penicillin.
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spelling pubmed-47529732016-03-03 Infective Exacerbation of Pasteurella multocida Hamada, Mayumi Elshimy, Noha Abusriwil, Hatem Case Rep Infect Dis Case Report An 89-year-old lady presented with a one-day history of shortness of breath as well as a cough productive of brown sputum. Her medical history was significant for chronic obstructive pulmonary disease (COPD). She was in severe type one respiratory failure and blood tests revealed markedly raised inflammatory markers; however her chest X-ray was clear. On examination there was bronchial breathing with widespread crepitations and wheeze. She was treated as per an infective exacerbation of COPD. Subsequent blood cultures grew Pasteurella multocida, a common commensal in the oropharynx of domesticated animals. The patient was then asked about any contact with animals, after which she revealed she had a dog and was bitten on her left hand the day before admission. We should not forget to enquire about recent history of injuries or animal bites when patients present acutely unwell. She made a complete recovery after treatment with penicillin. Hindawi Publishing Corporation 2016 2016-01-31 /pmc/articles/PMC4752973/ /pubmed/26942025 http://dx.doi.org/10.1155/2016/2648349 Text en Copyright © 2016 Mayumi Hamada et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Hamada, Mayumi
Elshimy, Noha
Abusriwil, Hatem
Infective Exacerbation of Pasteurella multocida
title Infective Exacerbation of Pasteurella multocida
title_full Infective Exacerbation of Pasteurella multocida
title_fullStr Infective Exacerbation of Pasteurella multocida
title_full_unstemmed Infective Exacerbation of Pasteurella multocida
title_short Infective Exacerbation of Pasteurella multocida
title_sort infective exacerbation of pasteurella multocida
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4752973/
https://www.ncbi.nlm.nih.gov/pubmed/26942025
http://dx.doi.org/10.1155/2016/2648349
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