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[Pasteurella multocida meningitis with cerebral abscesses]

S Nguefack1, B Moifo2, A Chiabi1

  • 1Service de pédiatrie et sous-spécialités pédiatriques, hôpital gynéco-obstétrique et pédiatrique de Yaoundé, BP 4362, Yaoundé, Cameroun; Faculté de médecine et des sciences biomédicales, université de Yaoundé I, Yaoundé, Cameroun.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|January 25, 2014
PubMed

Insights

Pasteurella multocida can cause meningitis, even without a clear bite or scratch history. This rare pediatric case highlights potential contamination routes and favorable outcomes with prompt treatment.

Area of Science:

  • Medical Microbiology
  • Pediatric Infectious Diseases

Background:

  • Pasteurella multocida commonly causes soft tissue infections from animal bites/scratches.
  • Meningitis due to Pasteurella multocida is rare, particularly in children.

Observation:

  • A 5-year-old male presented with meningitis, confirmed by cerebrospinal fluid analysis revealing P. multocida.
  • Potential contamination sources included a pet dog's saliva or an old, unnoticed skull fracture.

Findings:

  • The patient developed a cerebral abscess, a significant neurologic complication.
  • Successful treatment involved abscess drainage, 5 weeks of parenteral antibiotics, and 3 weeks of oral therapy.

Implications:

  • This case underscores the importance of considering P. multocida in pediatric meningitis, even without typical exposure history.
  • Early diagnosis and comprehensive treatment are crucial for favorable outcomes in rare Pasteurella-related meningitis cases.

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