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Pasteurella multocida tonsillitis: case report and review

G D Ramdeen1, R J Smith, E A Smith

  • 1Department of Medicine, Graduate School of Medicine, University of Tennessee Medical Center at Knoxville 37920-6999, USA.

Insights

Pasteurella multocida, a common animal bacteria, can cause tonsillitis. This case highlights a rare instance of tonsillitis in a human linked to feline exposure, presenting with upper respiratory symptoms.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Zoonotic Infections

Background:

  • Pasteurella multocida is a common bacterium found in the respiratory and digestive tracts of various animals.
  • While capable of causing diverse respiratory infections, P. multocida-induced tonsillitis is exceptionally rare in humans, with only four prior reports.
  • Animal-to-human transmission of bacterial pathogens remains a significant concern in public health.

Observation:

  • A 30-year-old female presented with symptoms suggestive of an upper respiratory tract infection.
  • The patient had recent and direct exposure to a domestic cat.
  • Clinical evaluation and diagnostic tests confirmed tonsillitis caused by Pasteurella multocida.

Findings:

  • This case represents the fifth documented instance of tonsillitis attributed to Pasteurella multocida in a human.
  • The patient's infection was likely acquired through direct contact with her pet cat, a known reservoir for the bacteria.
  • The clinical presentation mimicked common upper respiratory infections, underscoring the need for thorough etiological investigation.

Implications:

  • This case expands the known clinical spectrum of Pasteurella multocida infections in humans.
  • It emphasizes the potential for zoonotic transmission of P. multocida from domestic animals, particularly cats, to cause rare infections like tonsillitis.
  • Healthcare providers should consider Pasteurella multocida in the differential diagnosis of tonsillitis, especially in individuals with animal contact.

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