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Pasteurella multocida osteomyelitis caused by cat bite.

B Björkholm, T Eilard

    The Journal of Infection
    |March 1, 1983
    PubMed
    Summary
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    A cat bite led to a rare bone infection (osteomyelitis) caused by Pasteurella multocida. Prompt surgical intervention and penicillin treatment successfully resolved the infection in a teenage patient.

    Area of Science:

    • Infectious Diseases
    • Orthopedic Surgery
    • Microbiology

    Background:

    • Cat bites are common and can transmit various pathogens.
    • Osteomyelitis is a serious bone infection that requires prompt diagnosis and treatment.
    • Pasteurella multocida is a common bacterium found in the oral flora of cats and dogs.

    Observation:

    • A previously healthy 15-year-old female presented with a cat bite on her left thumb.
    • Despite initial antibiotic treatment with penicillin, she developed osteomyelitis four months post-injury.
    • The necrotic bone culture yielded Pasteurella multocida.

    Findings:

    • The osteomyelitis infection exhibited low activity.
    • Surgical debridement of the infected bone was performed.

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  • Combined treatment with surgery and penicillin was successful in eradicating the infection.

    • Implications:

    • This case highlights the potential for delayed and severe bone infections following seemingly minor cat bites.
    • Pasteurella multocida should be considered in the differential diagnosis of infections following animal bites, even after initial antibiotic treatment.
    • Aggressive surgical management combined with appropriate antibiotic therapy is crucial for successful treatment of osteomyelitis in such cases.