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Pasteurella multocida septicaemia in a patient on haemodialysis

Catherine Boinett1, Armando Gonzalez

  • 1Epsom General Hospital, Obstetrics and Gynaecology, Dorking Road, Epsom KT18 7EG, UK.

BMJ Case Reports
|June 21, 2011
PubMed

Insights

A 76-year-old hemodialysis patient developed fatal Pasteurella multocida sepsis after his dog licked his dialysis cannula. This case highlights the risk of pet-associated infections in immunocompromised patients.

Area of Science:

  • Infectious Diseases
  • Nephrology
  • Public Health

Background:

  • Hemodialysis patients are immunocompromised.
  • Pet ownership is common among hemodialysis patients.
  • Pasteurella multocida is part of the oral flora of domestic animals.

Purpose of the Study:

  • To report a fatal case of Pasteurella multocida septicemia in a hemodialysis patient.
  • To investigate potential transmission routes of Pasteurella multocida in this patient.
  • To raise awareness of zoonotic risks in hemodialysis patients.

Main Methods:

  • Case report of a 76-year-old male hemodialysis patient.
  • Blood cultures for pathogen identification.
  • Review of patient history regarding pet contact.
  • Antibiotic susceptibility testing.

Main Results:

  • Rapidly progressive sepsis caused by Pasteurella multocida.
  • Patient expired despite appropriate antibiotic therapy.
  • Patient reported dog licking his neck hemodialysis cannula prior to sepsis onset.
  • No history of bites or scratches from the pet.

Conclusions:

  • Pet-to-human transmission of Pasteurella multocida is a potential risk for hemodialysis patients.
  • Exposure to pet oral flora, even without direct trauma, can lead to severe infection.
  • Increased awareness and preventative measures are crucial for hemodialysis patients with pets.

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