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[Case report: a bacteremic pasteurellosis].

M Schoeffler1, J Crozon, A Levrat

  • 1Service de réanimation, pavillon G, département d'anesthésie-réanimation, hôpital Edouard-Herriot, Lyon, France. m.schoeffler@tiscali.fr

Annales Francaises D'Anesthesie Et De Reanimation
|December 20, 2005
PubMed
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Bacteremic pasteurellosis, a rare systemic Pasteurella multocida infection, affects immunocompromised patients and has a high mortality rate. Prompt treatment with antibiotics and septic shock resuscitation can lead to successful outcomes.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Critical Care Medicine

Background:

  • Bacteremic pasteurellosis is an uncommon systemic infection caused by Pasteurella multocida.
  • It predominantly affects immunocompromised individuals, including those with cirrhosis or alcoholism.
  • This infection carries a significant mortality risk, potentially reaching up to 60%.

Observation:

  • The case involved a patient with bacteremic pasteurellosis presenting with severe symptoms.
  • Neurological complications such as coma were noted as frequent in such systemic infections.
  • Septic shock was a critical complication requiring immediate medical intervention.

Findings:

  • The patient received a 14-day course of antibiotics, including beta-lactam antibiotics and fluoroquinolone.

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  • Resuscitation therapies were administered to manage septic shock.
  • The treatment regimen successfully resolved the septic shock without any complications.

    • Implications:

    • This case highlights the importance of early diagnosis and aggressive management of bacteremic pasteurellosis.
    • Effective antibiotic therapy combined with critical care can improve patient outcomes in severe Pasteurella multocida infections.
    • Further research into optimal treatment strategies for this rare but dangerous infection is warranted.