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Pasteurella multocida endocarditis

Muhammad F Khan1, Mohammad Reza Movahed, Jiyeon Jung

  • 1Department of Internal Medicine, Southern Arizona VA Health Care System, University of Arizona, USA. docfahadkhan@yahoo.com

The Journal of Heart Valve Disease
|June 1, 2012
PubMed

Insights

This case report details a rare instance of Pasteurella multocida infective endocarditis in an elderly male. Prompt antibiotic treatment led to significant clinical recovery, highlighting the importance of considering this pathogen in severe infections.

Area of Science:

  • Veterinary Microbiology
  • Infectious Diseases
  • Cardiology

Background:

  • Pasteurella multocida, a Gram-negative bacterium, is common in feline and canine oral flora.
  • Typically causes skin and soft tissue infections from bites/scratches.
  • Invasive P. multocida infections, including pneumonia and sepsis, are uncommon, and infective endocarditis is exceedingly rare.

Observation:

  • An 82-year-old male presented with pneumonia symptoms: productive cough, fever, and dyspnea.
  • Diagnostic work-up identified P. multocida bacteremia.
  • An aortic valve lesion indicative of endocarditis was discovered.

Findings:

  • The patient received antibiotic therapy for the P. multocida bacteremia and endocarditis.
  • Clinical improvement was observed during follow-up.
  • This case underscores the potential for P. multocida to cause severe, invasive infections.

Implications:

  • Highlights the importance of considering P. multocida in severe infections, even endocarditis.
  • Emphasizes the need for prompt diagnosis and appropriate antibiotic treatment.
  • Contributes to the limited literature on P. multocida infective endocarditis.

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