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Pasteurella multocida bacteremia in humans: a clinical report
Abstract:
Although Pasteurella multocida is a very common pathogen in animals, it has rarely been recognized as an infection of man. The first human infection was reported in 1913; between then and 1960 only 40 cases were reported in the world literature. The present patient became toxically ill following a bite from a domestic cat, and Pasteurella Multocida was grown on blood culture.The reason for the study is that the infecting agent can cause lesions in almost any body tissue, but up till now no report of liver involvement is available. Painful local inflammation after animal bites in humans deserves a search for Pasteurella multocida, which shows a sensitivity to penicillin unusual in a gram negative bacterium.
Insights
Pasteurella multocida, a common animal pathogen, rarely infects humans. This study reports a rare case of Pasteurella multocida liver involvement following a domestic cat bite, highlighting the need for its consideration in human infections.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Zoonotic Infections
Background:
- Pasteurella multocida is a prevalent bacterial pathogen in animals.
- Human infections are infrequently reported, with limited documentation prior to this study.
- The bacterium is known to cause diverse lesions but liver involvement has not been previously documented.
Purpose of the Study:
- To report a rare case of Pasteurella multocida infection in a human, specifically involving liver tissue.
- To investigate the potential for Pasteurella multocida to cause hepatic lesions in humans.
- To emphasize the importance of considering Pasteurella multocida in human infections following animal bites.
Main Methods:
- A case study of a patient presenting with toxic illness after a domestic cat bite.
- Blood culture was performed to identify the causative agent.
- Clinical presentation and diagnostic findings were analyzed.
Main Results:
- Pasteurella multocida was successfully isolated from the patient's blood culture.
- The patient experienced toxic illness and local inflammation post-cat bite.
- This case represents the first documented instance of Pasteurella multocida-associated liver involvement in humans.
Conclusions:
- Pasteurella multocida, despite being common in animals, presents a diagnostic challenge in human medicine.
- Animal bites, particularly from domestic cats, warrant investigation for Pasteurella multocida, especially with signs of inflammation.
- The unusual sensitivity of Pasteurella multocida to penicillin is noted, which is significant for a gram-negative bacterium.
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