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Pasteurella multocida: bilateral septic knee joint prostheses from a distant cat bite.

D W Orton, W H Fulcher

    Annals of Emergency Medicine
    |November 1, 1984
    PubMed
    Summary
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    A cat bite led to septic arthritis and bacteremia from Pasteurella multocida, requiring removal of knee prostheses. This highlights the risk of animal-associated infections in patients with implants.

    Area of Science:

    • Infectious Diseases
    • Microbiology
    • Orthopedic Surgery

    Background:

    • Pasteurella multocida is a common bacterium found in the oral flora of domestic animals, particularly cats and dogs.
    • Septic arthritis and bacteremia are serious infections that can affect joint health and systemic well-being.
    • Artificial joint prostheses can be susceptible to infection, leading to significant complications.

    Observation:

    • A patient developed septic arthritis and bacteremia following a superficial cat bite.
    • The infection was caused by the Gram-negative rod, Pasteurella multocida.
    • Within two years, the patient required removal of both artificial knee prostheses due to the persistent infection.

    Findings:

    • This case demonstrates a severe outcome of Pasteurella multocida infection, including prosthetic joint infection.

    Related Experiment Videos

  • The study discusses the pathogenesis of P. multocida infections, emphasizing the route of transmission through animal bites.
  • The findings underscore the potential for P. multocida to cause invasive disease, even from seemingly minor injuries.
  • Implications:

    • The case highlights the importance of considering Pasteurella multocida in infections following animal bites, especially in immunocompromised individuals or those with implants.
    • It raises questions about the necessity and efficacy of prophylactic antibiotics in preventing such infections.
    • Management strategies for P. multocida infections, particularly in prosthetic joints, require careful consideration of treatment duration and surgical intervention.