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Post viper bite Pasteurella multocida necrotizing fasciitis complicates with septicaemia and renal failure

A Nadiyah1, N M S Azira2,3, Z Nazli2,4

  • 1Department of Microbiology, Hospital Raja Perempuan Zainab II, Kota Bahru, Kelantan.

Tropical Biomedicine
|February 9, 2021
PubMed

Insights

Necrotizing fasciitis, a severe infection, can be caused by Pasteurella multocida, especially after a viper bite. This case highlights a rare instance of P. multocida necrotizing fasciitis following a snakebite.

Area of Science:

  • Infectious Diseases
  • Clinical Microbiology
  • Toxicology

Background:

  • Necrotizing fasciitis is a severe, rapidly progressing infection.
  • Streptococci are the most common cause, but other bacteria can be involved.
  • Infections caused by Pasteurella multocida are rarely reported.

Purpose of the Study:

  • To report a rare case of necrotizing fasciitis caused by Pasteurella multocida.
  • To highlight Pasteurella multocida as a potential pathogen in necrotizing fasciitis.
  • To identify a viper bite as a unique risk factor for this infection.

Main Methods:

  • Case report of an 85-year-old male patient.
  • Isolation of Pasteurella multocida from clinical samples (pus, tissue, blood).
  • Clinical assessment and identification of the causative agent.

Main Results:

  • Pasteurella multocida was identified as the causative agent of necrotizing fasciitis and sepsis.
  • The patient's infection was secondary to a viper bite.
  • This represents the first reported case of P. multocida necrotizing fasciitis linked to a viper bite.

Conclusions:

  • Pasteurella multocida can cause severe necrotizing fasciitis and sepsis.
  • Viper bites may represent a risk factor for P. multocida infections.
  • Clinicians should consider P. multocida in cases of necrotizing fasciitis, especially with relevant exposure history.

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