[Meningitis and osteitis caused by Pasteurella multocida in a three-month-old infant]
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1Service de pédiatrie, CHI Poissy-Saint-Germain, site de Poissy, 10, rue du Champ-Gaillard, 78300 Poissy, France. pyassisped@chi-poissy-st-germain.fr
Abstract:
Pasteurella multocida is usually responsible for local infections occurring after animal bites. It can also be responsible for meningitis in infants. A three-month old infant was admitted to hospital with a diagnosis of bacterial meningitis and hip osteitis. Cultures of cerebrospinal fluid, blood and joint liquid were positive to Pasteurella multocida. Licking from the family dog was the transmission mode in this case. Despite initial neurological complications, clinical evolution was favourable after three weeks of intravenous antibiotic therapy followed by an oral administration for three months. Pasteurella multocida meningitis is rare in infants. It can be associated with arthritis, osteitis and septicaemia. Besides animal bites, licking is also a mode of contamination.
Insights
Pasteurella multocida, a bacterium often from animal bites, caused rare meningitis and hip osteitis in an infant. Licking by a family dog transmitted the infection, which resolved with antibiotic treatment.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Pasteurella multocida commonly causes localized infections post-animal bite.
- Meningitis in infants is a serious condition, often caused by specific bacterial pathogens.
- This case highlights a less common presentation of Pasteurella multocida infection.
Observation:
- A three-month-old infant presented with bacterial meningitis and hip osteitis.
- Cultures from cerebrospinal fluid, blood, and joint fluid were positive for Pasteurella multocida.
- The suspected transmission route was direct contact via licking from a family dog.
Findings:
- Pasteurella multocida can cause severe invasive infections, including meningitis and osteitis, in infants.
- Infection was successfully treated with a prolonged course of intravenous and oral antibiotics.
- Neurological complications were noted initially but resolved favorably.
Implications:
- This case underscores the risk of Pasteurella multocida transmission through non-bite animal contact, such as licking.
- Early diagnosis and appropriate antibiotic therapy are crucial for favorable outcomes in infant Pasteurella multocida infections.
- Highlights the importance of considering zoonotic infections in pediatric meningitis and osteitis cases.
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