Acute epiglottitis due to Pasteurella multocida after contact with a feral cat
Lauren Sisco1, Lizbeth Cahuayme-Zuniga1
1Division of Infectious Disease, Department of Internal Medicine, Baylor Scott & White HealthTempleTexas.
Abstract:
Pasteurella multocida is a bipolar staining gram-negative coccobacillus that resides in the nasopharynx of many animals, most notably felines. It is a common cause of soft tissue infections following animal bites but has rarely been reported to cause epiglottitis. Here we describe a case of epiglottitis and bacteremia due to P. multocida following exposure to a feral cat. The patient required emergent cricothyrotomy due to airway compromise. He was successfully treated with 14 days of beta-lactam therapy and achieved a full recovery.
Insights
A rare case of epiglottitis and bacteremia caused by Pasteurella multocida following a feral cat exposure is detailed. Prompt treatment with beta-lactam therapy led to full patient recovery and airway stabilization.
Area of Science:
- Infectious Diseases
- Bacteriology
- Otolaryngology
Background:
- Pasteurella multocida, a common nasopharyngeal bacterium in felines, typically causes soft tissue infections after bites.
- Epiglottitis is an uncommon manifestation of P. multocida infection.
Observation:
- A patient developed epiglottitis and bacteremia after exposure to a feral cat.
- Airway compromise necessitated an emergent cricothyrotomy.
Findings:
- P. multocida was identified as the causative agent.
- The patient received 14 days of beta-lactam therapy.
Implications:
- This case highlights the potential for severe infections, including epiglottitis, from P. multocida.
- Early diagnosis and appropriate antibiotic treatment are crucial for managing P. multocida-induced epiglottitis and ensuring favorable outcomes.
