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Meningitis from canine Pasteurella multocida following mastoidectomy
1Department of Otorhinolarygnology, University of Liverpool.
The Journal of Laryngology and Otology
|July 1, 1991
Abstract:
A case of Pasteurella multocida meningitis, following a mastoidectomy is presented. The association of close contact with pets, many of which harbour Pasteurella multocida as part of their normal buccal flora. This case confirms the potential benefit of taking an ear swab prior to mastoid surgery and in seeking an appropriate 'pet' history.
Insights
A rare case of Pasteurella multocida meningitis occurred after mastoidectomy surgery. This highlights the importance of pet history and ear swabs before surgery to prevent such infections.
Area of Science:
- Infectious Diseases
- Neurosurgery
- Otolaryngology
Background:
- Mastoidectomy is a surgical procedure to remove diseased tissue behind the ear.
- Meningitis, inflammation of the membranes surrounding the brain and spinal cord, can have various causes.
- Pasteurella multocida is a bacterium commonly found in the oral flora of domestic animals.
Observation:
- A patient developed Pasteurella multocida meningitis subsequent to undergoing a mastoidectomy.
- The patient had close contact with pets, known reservoirs for Pasteurella multocida.
Findings:
- This case demonstrates a potential link between pet exposure and postoperative meningitis.
- The presence of Pasteurella multocida in the patient's ear flora may have contributed to the meningitis.
Implications:
- Pre-operative ear swabbing in mastoidectomy patients could identify potential pathogens like Pasteurella multocida.
- Gathering a detailed pet history from patients undergoing ear surgery may aid in assessing infection risk.
- This case underscores the zoonotic potential of Pasteurella multocida in a surgical context.