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[Septic shock originating from a pulmonary focus caused by Pasteurella multocida. Report of one case]

Tomás De La Barra1, Leonardo Soto1, Milena Chiappe2

  • 1Unidad de Paciente Crítico, Clínica Santa María, Santiago, Chile.

Revista Medica De Chile
|October 31, 2023
PubMed

Insights

A cat scratch led to Pasteurella multocida septic shock in an immunocompromised man. Prompt antimicrobial treatment successfully resolved the severe infection.

Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Critical Care Medicine

Background:

  • Pasteurella multocida, a Gram-negative coccobacillus, commonly inhabits the oropharynx of domestic animals.
  • Infections typically manifest as soft tissue infections or bacteremia in immunocompromised individuals with animal contact.

Observation:

  • A 61-year-old male with a history of cat scratches and close contact presented with septic shock.
  • The septic shock originated from a pulmonary focus, necessitating mechanical ventilation and vasopressor support.

Findings:

  • Blood cultures confirmed the presence of Pasteurella multocida.
  • The patient showed a successful clinical response to antimicrobial therapy.

Implications:

  • This case highlights the potential for severe Pasteurella multocida infections originating from animal contact.
  • Early recognition and appropriate antimicrobial treatment are crucial for managing Pasteurella multocida-induced septic shock, particularly in immunocompromised patients.

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