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Empyema due to severe Pasteurella multocida treated with quinolone: a case report
Ahmed Abdelkarim1, Abdullah Almohammadi, Abdulmohsin AhmadJee
1Department of Internal Medicine, Division of Pulmonary/Critical Care, The University of Toledo Medical center, Toledo, OH.
American Journal of Therapeutics
|June 6, 2013
Summary
A penicillin-allergic patient with Pasteurella multocida empyema, a cat-associated infection, was successfully treated with Levofloxacin. This highlights an effective alternative antibiotic for Pasteurella multocida infections in penicillin-sensitive individuals.
Area of Science:
- Infectious Diseases
- Bacteriology
- Pulmonary Medicine
Background:
- Pasteurella multocida (PM) is a common gram-negative coccobacillus.
- Typically acquired via cat scratches or bites.
- Penicillin is the standard treatment for PM infections.
Observation:
- A 56-year-old female with chronic obstructive pulmonary disease and smoking history presented with PM empyema.
- The patient had a history of contact with domestic cats.
- She had a known penicillin allergy.
Findings:
- Successful treatment of PM empyema was achieved using Levofloxacin.
- Levofloxacin served as an effective alternative to penicillin.
- This case demonstrates a viable therapeutic option for penicillin-allergic patients.
Implications:
- Levofloxacin can be considered for treating Pasteurella multocida infections in penicillin-allergic patients.
- This finding is crucial for managing empyema in individuals with specific comorbidities and allergies.
- Broadens treatment options for bacterial infections acquired from animal contact.
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