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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
Summary
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.