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Sepsis by Pasteurella multocida in an Elderly Immunocompetent Patient after a Cat Bite
Pasteurella multocida colonizes animal scratches and bites. This bacterium was described to cause sepsis or endocarditis mainly in immunocompromised patients. We report the case of a 92-year-old woman presenting at the Emergency Department with coma and fever a week after the bite of her cat. The ca...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5727562/ https://www.ncbi.nlm.nih.gov/pubmed/29318064 http://dx.doi.org/10.1155/2017/2527980 |
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author | Caserza, Lara Piatti, Gabriella Bonaventura, Aldo Liberale, Luca Carbone, Federico Dallegri, Franco Ottonello, Luciano Gustinetti, Giulia Del Bono, Valerio Montecucco, Fabrizio |
author_facet | Caserza, Lara Piatti, Gabriella Bonaventura, Aldo Liberale, Luca Carbone, Federico Dallegri, Franco Ottonello, Luciano Gustinetti, Giulia Del Bono, Valerio Montecucco, Fabrizio |
author_sort | Caserza, Lara |
collection | PubMed |
description | Pasteurella multocida colonizes animal scratches and bites. This bacterium was described to cause sepsis or endocarditis mainly in immunocompromised patients. We report the case of a 92-year-old woman presenting at the Emergency Department with coma and fever a week after the bite of her cat. The cat bite was misdiagnosed at admission partly due to an underestimation of this event by the patient's relatives. An inflamed area localized at perimalleolar skin of the right leg was detected. Laboratory biomarkers of inflammation were elevated. The cerebral computed tomography (CT) scan with angiographic sequences showed a complete occlusion of right intracranial vertebral artery. Total body CT scan and abdominal echocardiography were negative for foci of infection. Three consecutive blood cultures were positive for Pasteurella multocida. A diagnosis of sepsis by Pasteurella multocida was made, and the patient recovered after a specific antimicrobial treatment. In order to confirm the animal transmission, the cat saliva was cultured and found positive for Pasteurella multocida with a similar antibiotic sensitivity to that isolated from the patient. In conclusion, the case of a patient with coma and fever after a cat bite was presented. The transmission of pathogens from pets has to be carefully considered as an important route of infection in immunocompetent patients. |
format | Online Article Text |
id | pubmed-5727562 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-57275622018-01-09 Sepsis by Pasteurella multocida in an Elderly Immunocompetent Patient after a Cat Bite Caserza, Lara Piatti, Gabriella Bonaventura, Aldo Liberale, Luca Carbone, Federico Dallegri, Franco Ottonello, Luciano Gustinetti, Giulia Del Bono, Valerio Montecucco, Fabrizio Case Rep Infect Dis Case Report Pasteurella multocida colonizes animal scratches and bites. This bacterium was described to cause sepsis or endocarditis mainly in immunocompromised patients. We report the case of a 92-year-old woman presenting at the Emergency Department with coma and fever a week after the bite of her cat. The cat bite was misdiagnosed at admission partly due to an underestimation of this event by the patient's relatives. An inflamed area localized at perimalleolar skin of the right leg was detected. Laboratory biomarkers of inflammation were elevated. The cerebral computed tomography (CT) scan with angiographic sequences showed a complete occlusion of right intracranial vertebral artery. Total body CT scan and abdominal echocardiography were negative for foci of infection. Three consecutive blood cultures were positive for Pasteurella multocida. A diagnosis of sepsis by Pasteurella multocida was made, and the patient recovered after a specific antimicrobial treatment. In order to confirm the animal transmission, the cat saliva was cultured and found positive for Pasteurella multocida with a similar antibiotic sensitivity to that isolated from the patient. In conclusion, the case of a patient with coma and fever after a cat bite was presented. The transmission of pathogens from pets has to be carefully considered as an important route of infection in immunocompetent patients. Hindawi 2017 2017-11-26 /pmc/articles/PMC5727562/ /pubmed/29318064 http://dx.doi.org/10.1155/2017/2527980 Text en Copyright © 2017 Lara Caserza 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 Caserza, Lara Piatti, Gabriella Bonaventura, Aldo Liberale, Luca Carbone, Federico Dallegri, Franco Ottonello, Luciano Gustinetti, Giulia Del Bono, Valerio Montecucco, Fabrizio Sepsis by Pasteurella multocida in an Elderly Immunocompetent Patient after a Cat Bite |
title | Sepsis by Pasteurella multocida in an Elderly Immunocompetent Patient after a Cat Bite |
title_full | Sepsis by Pasteurella multocida in an Elderly Immunocompetent Patient after a Cat Bite |
title_fullStr | Sepsis by Pasteurella multocida in an Elderly Immunocompetent Patient after a Cat Bite |
title_full_unstemmed | Sepsis by Pasteurella multocida in an Elderly Immunocompetent Patient after a Cat Bite |
title_short | Sepsis by Pasteurella multocida in an Elderly Immunocompetent Patient after a Cat Bite |
title_sort | sepsis by pasteurella multocida in an elderly immunocompetent patient after a cat bite |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5727562/ https://www.ncbi.nlm.nih.gov/pubmed/29318064 http://dx.doi.org/10.1155/2017/2527980 |
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