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Published on: July 1, 2018
Meningitis and subgaleal, subdural, epidural empyema due to Pasteurella multocida
Hüseyin Per1, Sefer Kumandaş, Hakan Gümüş
1Department of Pediatric Neurology, Erciyes University Medical Faculty, Kayseri, Turkey.
Abstract:
Pasteurella is a Gram-negative coccobacillus found in 70-90% of oral cavities of cats, and as well, is isolated from the digestive systems of dogs, rats, rabbits, monkeys, and other animals. Pasteurella multocida has been known to cause infections in humans, the most familiar being soft tissue infection after animal bites. However, this organism may affect a variety of systems, causing serious disease. Pasteurella multocida can cause septic arthritis, osteomyelitis, pneumonia, endocarditis, meningitis, and septicemia. We report a case of bacterial meningitis, subgaleal, subdural, and epidural empyema due to Pasteurella multocida by a rabbit licking that resulted in neurological complications and a prolonged recovery period.
Insights
Pasteurella multocida, commonly found in animal mouths, can cause severe human infections. A case highlights meningitis and empyema from a rabbit lick, leading to complications.
Area of Science:
- Microbiology
- Infectious Diseases
- Neurology
Background:
- Pasteurella multocida is a Gram-negative coccobacillus prevalent in animal oral cavities.
- It is a known cause of human infections, typically soft tissue infections from animal bites.
- The bacterium can lead to severe systemic diseases beyond superficial infections.
Observation:
- A case involving a patient with meningitis, subgaleal, subdural, and epidural empyema is presented.
- The infection was attributed to Pasteurella multocida following direct contact via a rabbit lick.
- This specific transmission route is less commonly reported for invasive Pasteurella infections.
Findings:
- The patient experienced significant neurological complications.
- The infection necessitated a prolonged recovery period due to its severity and extent.
- This case underscores the potential for Pasteurella multocida to cause invasive intracranial infections.
Implications:
- Highlights the risk of Pasteurella multocida infections from non-bite animal contact.
- Emphasizes the need for awareness regarding Pasteurella multocida as a cause of meningitis and empyema.
- Suggests potential for severe neurological sequelae even from seemingly minor exposures.
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