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An angry cat causing Pasteurella multocida endocarditis and aortic valve replacement-A case report.

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Cat bites can cause rare Pasteurella multocida infections leading to endocarditis. Patient compliance with antibiotic treatment is crucial to prevent severe complications like aortic valve damage.

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Area of Science:

  • Infectious Diseases
  • Cardiology
  • Bacteriology

Background:

  • Cat bite infections commonly involve polymicrobial flora, including anaerobic and aerobic bacteria.
  • Pasteurella multocida is a frequent pathogen in cat bite-related infections.

Purpose of the Study:

  • To report a rare case of Pasteurella multocida endocarditis secondary to cat bites.
  • To highlight the potential severity of cat bite infections and associated risk factors.

Main Methods:

  • Case report of a 70-year-old male with Pasteurella multocida sepsis and endocarditis.
  • Initial treatment with intravenous antibiotics (gentamicin and cefotaxime), followed by oral penicillin V.
  • Surgical aortic valve replacement due to diagnosed endocarditis and annular abscess.

Main Results:

  • Pasteurella multocida was identified as the causative agent of sepsis and endocarditis.
  • The patient developed aortic valve endocarditis despite initial antibiotic treatment, linked to non-compliance.
  • Successful surgical intervention and postoperative recovery were achieved.

Conclusions:

  • Endocarditis caused by Pasteurella species is exceptionally rare.
  • Alcohol abuse and poor patient compliance with prescribed antibiotics were identified as predisposing factors.
  • Prompt surgical management, appropriate antibiotic therapy, and strict patient adherence are vital for managing severe cat bite-related infections.