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Pasteurella multocida infection in the hand

G L Lucas, D H Bartlett

    Plastic and Reconstructive Surgery
    |January 1, 1981
    PubMed

    Insights

    Pasteurella multocida hand infections can lead to chronic impairment in nearly 50% of patients. Prompt antibiotic treatment and supportive care are crucial to prevent long-term complications like osteomyelitis and joint stiffness.

    Area of Science:

    • Infectious Diseases
    • Hand Surgery
    • Bacteriology

    Background:

    • Pasteurella multocida is a common zoonotic bacterium, often associated with animal bites or scratches.
    • Hand infections require prompt and accurate diagnosis and treatment to prevent complications.

    Observation:

    • This study reviewed 13 patients with Pasteurella multocida hand infections.
    • Six of these patients (46%) developed chronic hand impairment.

    Findings:

    • Chronic morbidity following Pasteurella multocida hand infection occurs in nearly 50% of cases.
    • Potential long-term consequences include osteomyelitis and paraarticular infection leading to joint stiffness.
    • The clinical picture can evolve rapidly after inoculation.

    Implications:

    • Vigorous antibiotic therapy, rest, elevation, and immobilization are essential for managing Pasteurella multocida hand infections.
    • Surgical decompression or drainage may be necessary in some cases.
    • Initial antibiotic treatment with cephalosporins, followed by penicillin for culture-proven infections, is recommended.

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