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Published on: April 7, 2015
Pasteurella multocida Infective Endocarditis
Daisuke Yuji1, Masashi Tanaka1, Ikuo Katayama And Kenichirou Noguchi1
1Department of Cardiovascular Surgery, Shonan Kamakura General Hospital, Kamakura City, Kanagawa, Japan.
Abstract:
Pasteurella multocida, a Gram-negative facultative anaerobic coccobacillus, is a common oral flora of dogs and cats. P. multocida often causes infection in humans after animal bites and scratches, and human pasteurellosis is generally a locoregional infection. Systemic complications, particularly endocarditis, are very rare, except in immunodeficient patients. Endocarditis caused by P. multocida can have severe outcomes; hence, surgical treatment is often required. Here, a case is described of endocarditis caused by P. multocida in a previously healthy patient with no history of animal injury, which was successfully treated with surgery.
Insights
Pasteurella multocida endocarditis is rare, especially in healthy individuals. This case highlights successful surgical treatment for this severe infection in a previously healthy patient without animal contact.
Area of Science:
- Infectious Diseases
- Cardiology
- Microbiology
Background:
- Pasteurella multocida, a Gram-negative coccobacillus, is common in canine and feline oral flora.
- Human infections typically result from animal bites/scratches, usually causing localized disease.
- Systemic Pasteurella multocida infections, like endocarditis, are rare, particularly in immunocompetent individuals.
Purpose of the Study:
- To report a rare case of Pasteurella multocida endocarditis.
- To describe the successful surgical management of this infection in a previously healthy patient.
- To highlight an unusual presentation of pasteurellosis without a history of animal injury.
Main Methods:
- Case report detailing clinical presentation, diagnosis, and treatment.
- Review of relevant literature on Pasteurella multocida endocarditis.
Main Results:
- A previously healthy patient developed Pasteurella multocida endocarditis without known animal exposure.
- The patient underwent successful surgical intervention for the endocarditis.
- The outcome was favorable following surgical treatment.
Conclusions:
- Pasteurella multocida endocarditis can occur in healthy individuals, even without apparent animal contact.
- Surgical treatment is a viable and effective option for managing severe Pasteurella multocida endocarditis.
- This case underscores the importance of considering rare pathogens in infective endocarditis.
Related Concept Videos
Endocarditis I: Introduction
Endocarditis II: Clinical Features of Infective Endocarditis
Endocarditis IV: Nursing Management
Endocarditis III: Medical Management
Myocarditis I: Introduction
Myocarditis II: Clinical Features and Diagnostic Tests

