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Murine Oropharyngeal Aspiration Model of Ventilator-associated and Hospital-acquired Bacterial Pneumonia
Published on: June 28, 2018
[Pasteurella multocida infection of cavitated lung squamous carcinoma]
C Haya Fernández1, M A Martínez García, J J Soler Cataluña
1Servicio de Medicina Interna. Hospital General de Requena. Valencia. España.
Abstract:
Pasteurella multocida has rarely been reported to cause lung disease in humans. Infection usually arises from bites or scratches from animal carriers of the pathogen. Cases of pneumonia, lung abscess, airway infection or infection of pre-existing bronchiectasis have been described, usually in individuals who are in direct contact with carrier animals and who have a chronic debilitating disease. It is unusual for P. multocida to be ingested and appear among oropharyngeal flora in humans. We report the first case published (Medline search 1966-2002) of a cavitated lung with squamous carcinoma that became infected by P. multocida in an elderly patient who denied contact with potential carrier animals. We believe that the P. multocida infection in humans is underdiagnosed because clinical suspicion is low and the bacterium is highly susceptible to common antibiotics.
Insights
Pasteurella multocida rarely causes human lung disease, typically from animal contact. This case highlights a unique infection in a cavitated lung with squamous carcinoma, suggesting underdiagnosis in patients without animal exposure.
Area of Science:
- Medical Microbiology
- Pulmonology
- Oncology
Background:
- Pasteurella multocida is a bacterium rarely implicated in human lung infections.
- Human infections typically result from direct contact with infected animals, such as through bites or scratches.
- Known pulmonary manifestations include pneumonia, lung abscess, and airway infections, often in immunocompromised individuals with chronic conditions.
Observation:
- This report details the first documented case of a cavitated lung with squamous carcinoma infected by Pasteurella multocida.
- The affected patient was elderly and denied any history of contact with potential animal carriers.
- The bacterium was found within the lung cavity, an unusual site for Pasteurella multocida in humans.
Findings:
- The study identified a rare instance of Pasteurella multocida infection in a human lung.
- The infection occurred in a complex scenario involving a cavitated lung and squamous cell carcinoma.
- This case challenges the typical transmission routes and patient profiles associated with Pasteurella multocida lung infections.
Implications:
- Pasteurella multocida lung infections may be underdiagnosed in clinical practice.
- Low clinical suspicion and the bacterium's susceptibility to common antibiotics contribute to underdiagnosis.
- Further investigation into non-traditional transmission routes and atypical presentations is warranted.
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