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Pasteurella multocida infectious arthritis.

P J Spagnuolo

    The American Journal of the Medical Sciences
    |May 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Pasteurella multocida can cause infectious arthritis, particularly in individuals with rheumatoid arthritis, following animal contact. Early penicillin treatment is effective, preventing severe complications like osteomyelitis.

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    Area of Science:

    • Infectious Diseases
    • Rheumatology
    • Microbiology

    Background:

    • Pasteurella multocida, a common animal bacterium, can cause human infections, including infectious arthritis, often following animal bites or scratches.
    • Infectious arthritis from Pasteurella multocida is rare, with only ten cases documented, including the one presented.
    • Patients with rheumatoid arthritis are disproportionately affected, suggesting potential immune system vulnerabilities.

    Observation:

    • The tenth reported case of Pasteurella multocida infectious arthritis is presented.
    • Clinical signs of inflammation were consistently observed in affected patients.
    • Systemic infection was infrequent, and synovial fluid Gram stains were often negative, complicating diagnosis.

    Findings:

    • Recent animal exposure was a common factor among patients.

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  • Half of the patients had pre-existing chronic rheumatoid arthritis.
  • Penicillin demonstrated effectiveness as a treatment, with osteomyelitis occurring in only two patients.

    • Implications:

    • The susceptibility of rheumatoid arthritis patients may relate to immune status, steroid use, or pet ownership.
    • Infection likely spreads to the joint via contiguous spread from skin rather than hematogenous seeding.
    • Prompt diagnosis and penicillin therapy are crucial for favorable outcomes in Pasteurella multocida infectious arthritis.