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Updated: Jun 23, 2026

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
Published on: August 12, 2020
Rapidly progressive and lethal septicemia due to infection with Pasteurella multocida in an infant
Johannes Haybaeck1, Christoph Schindler, Paul Braza
1Department of Pathology and Neuropathology, State Neuropsychiatric Hospital Wagner-Jauregg, Linz, Austria. johannes.haybaeck@usz.ch
Abstract:
We report a case of rapidly progressive pneumonia and meningoencephalitis in a 2-month-old breastfed infant. Culture of cerebrospinal fluid was positive for Pasteurella multocida. No bite or scratch injury as site of entrance could be detected clinically or at autopsy, therefore aerogenic transmission in droplets from a household pet must be considered. Infections with P. multocida have been frequently reported in infants and elderly people; however, rapidly progressive and lethal infections in infants have been described only rarely. These infections must be regarded as preventable through adequate measures of hygiene.
Insights
A rare, rapidly progressive Pasteurella multocida infection caused fatal pneumonia and meningoencephalitis in a 2-month-old infant. Aerogenic transmission from pets is suspected, highlighting the need for hygiene to prevent infant Pasteurella multocida infections.
Area of Science:
- Pediatric Infectious Diseases
- Microbiology
- Neurology
Background:
- Pasteurella multocida infections are common in infants and the elderly.
- Rapidly progressive and lethal Pasteurella multocida infections in infants are rare.
Observation:
- A 2-month-old infant presented with rapidly progressive pneumonia and meningoencephalitis.
- Cerebrospinal fluid culture confirmed Pasteurella multocida.
- No bite or scratch marks were found, suggesting aerogenic transmission.
Findings:
- The infant's infection progressed rapidly, leading to a fatal outcome.
- Pasteurella multocida was identified as the causative agent.
- Household pet contact was the likely source of infection via respiratory droplets.
Implications:
- This case highlights the potential for severe Pasteurella multocida infections in infants.
- Preventive measures, including enhanced hygiene, are crucial to mitigate risks.
- Early recognition and intervention may be critical in managing such rare pediatric infections.
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