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Septic arthritis and osteomyelitis from a cat bite.

J Chodakewitz1, F J Bia

  • 1Department of Medicine, West Haven Veterans Administration Medical Center, Connecticut.

The Yale Journal of Biology and Medicine
|November 1, 1988
PubMed
Summary

A cat bite led to a severe hand infection, including osteomyelitis and septic arthritis, caused by Pasteurella multocida. This highlights the risk of rapid bone infection from cat bites, even with antibiotic treatment.

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Area of Science:

  • Infectious Diseases
  • Orthopedic Surgery
  • Bacteriology

Background:

  • Animal bites, especially from cats, pose a risk for serious bacterial infections.
  • Pasteurella multocida is a common pathogen in the oral flora of domestic cats.
  • Prompt diagnosis and treatment are crucial for managing infections following animal bites.

Observation:

  • A 39-year-old man presented with osteomyelitis and septic arthritis in his hand after a cat bite.
  • The patient had no prior history of arthritis.
  • The infection rapidly progressed, involving bone and joint structures.

Findings:

  • Pasteurella multocida was identified as the causative agent.
  • Cat teeth can directly inoculate bone, leading to severe infections.
  • Penicillin is the recommended antibiotic, but complications can still occur.

Implications:

  • This case underscores the virulence of Pasteurella multocida in bone and joint infections.
  • It emphasizes the importance of considering deep tissue and bone inoculation in cat bite injuries.
  • Even with appropriate antibiotic therapy, surgical intervention or further management may be necessary for complications.

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