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Published on: June 15, 2019
[Sepsis caused by Pasteurella multocida after a dog bite]
1Infectious Department, Hospital Agel, Prostejov, Czech Repubic,
Abstract:
This article reports a case of systemic infection caused by Pasteurella multocida. The infection was confirmed in a 79-year-old man who was admitted to the hospital after falling from a couch. The disease was manifested by the development of fever, chills, joint pain. Laboratory tests revealed elevated C-reactive protein levels, slightly elevated nitrogen metabolites, borderline leukocytosis, and thrombocytopenia. The pathogen was identified in a blood culture and a wound swab culture. The patient was initially treated with third-generation cephalosporin (cefotaxime) and later with cefuroxime. The article is supplemented with information on the etiologic agent, its history, and a literature review of documented complicated cases of pasteurellosis.
Insights
A systemic Pasteurella multocida infection occurred in an elderly man following a fall. Prompt antibiotic treatment with cephalosporins was initiated, highlighting the importance of early diagnosis for this rare bacterial infection.
Area of Science:
- Infectious Diseases
- Bacteriology
- Clinical Case Study
Background:
- Pasteurella multocida is an opportunistic pathogen typically associated with animal bites or scratches.
- Systemic infections, though rare, can occur in immunocompromised or elderly individuals.
- This case highlights a non-traditional route of infection following a domestic fall.
Purpose of the Study:
- To report a rare case of systemic Pasteurella multocida infection in an elderly patient.
- To detail the clinical presentation, laboratory findings, and treatment of this infection.
- To review the literature on complicated Pasteurella multocida infections.
Main Methods:
- Case report of a 79-year-old male patient.
- Blood and wound swab cultures for pathogen identification.
- Clinical and laboratory data analysis (C-reactive protein, nitrogen metabolites, leukocytosis, thrombocytopenia).
- Review of existing literature on Pasteurella multocida infections.
Main Results:
- Systemic infection by Pasteurella multocida confirmed via blood and wound cultures.
- Patient presented with fever, chills, and joint pain, with indicative laboratory markers.
- Successful treatment with third-generation cephalosporins (cefotaxime and cefuroxime).
Conclusions:
- Pasteurella multocida can cause severe systemic infections even without direct animal contact.
- Early diagnosis and appropriate antibiotic therapy are crucial for favorable outcomes.
- This case underscores the need for vigilance regarding Pasteurella multocida in diverse clinical scenarios.
