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Pasteurella multocida lung and liver abscess in an immune-competent child
1Department of Paediatrics and Child Health, Stellenbosch University, Tygerberg, South Africa. pgouss@sun.ac.za
Insights
A 20-month-old infant developed severe lung and liver abscesses due to Pasteurella multocida infection following close contact with a pet cat. Surgical intervention revealed interconnected abscesses involving the diaphragm.
Area of Science:
- Pediatric Infectious Diseases
- Zoonotic Infections
- Surgical Pathology
Background:
- Pasteurella multocida is a common bacterium found in domestic animals, particularly cats.
- Infections in humans are typically associated with animal bites or scratches, but non-bite exposures can also occur.
- While often causing localized infections, Pasteurella multocida can lead to severe systemic disease in rare cases.
Observation:
- A 20-month-old infant presented with a complicated illness.
- The infant had recent close contact with a domestic cat.
- Clinical presentation suggested a serious infection affecting multiple organs.
Findings:
- Diagnostic imaging and surgical exploration confirmed the presence of interconnected lung and liver abscesses.
- The abscesses were caused by Pasteurella multocida.
- The infection had extended to involve the diaphragm.
Implications:
- This case highlights the potential for severe Pasteurella multocida infections in young children, even without direct bites.
- Early recognition and surgical management are crucial for treating complex abscesses.
- Zoonotic disease prevention strategies should consider non-bite transmission routes from pets.
Abstract:
We report on a 20-month-old infant with a complicated lung and liver abscess caused by Pasteurella multocida after the child had been in close contact with a domestic cat. Surgical drainage confirmed lung and liver abscesses connected to each other, with involvement of the diaphragm.
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