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[Pasteurella multocida meningo-encephalitis with aphasia in a young adult]

L Bornard1, J-C Orban, O Oregioni

  • 1Département d'anesthésie-réanimation Est, hôpital Saint-Roch, CHU de Nice, 5, rue Pierre-Devoluy, 06006 Nice cedex, France.

Annales Francaises D'Anesthesie Et De Reanimation
|June 1, 2005
PubMed

Insights

This case study details the first reported instance of Pasteurella multocida meningoencephalitis causing aphasia in a young adult. Prompt antibiotic treatment led to a favorable outcome, with a family cat identified as the source of the bacterial meningitis.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Bacteriology

Background:

  • Bacterial meningitis can present with diverse neurological complications.
  • Pasteurella multocida is a zoonotic bacterium typically associated with animal bites or scratches.

Observation:

  • A 28-year-old patient presented with symptoms indicative of bacterial meningitis and subsequent aphasia.
  • Initial diagnostic delays necessitated multiple antibiotic regimen adjustments.

Findings:

  • The patient was diagnosed with Pasteurella multocida meningoencephalitis.
  • Epidemiological investigation traced the infection to the patient's pet cat, which harbored the identical bacterial strain.
  • The patient experienced a full recovery following targeted antibiotic therapy.

Implications:

  • This case highlights the potential for Pasteurella multocida to cause severe central nervous system infections in humans.
  • Early identification and appropriate antibiotic selection are crucial for managing this rare form of meningitis.
  • Zoonotic transmission from domestic animals, like cats, should be considered in the differential diagnosis of bacterial meningitis.

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