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Acute Pasteurella multocida pneumonia

H D Rose, G Mathai

    British Journal of Diseases of the Chest
    |April 1, 1977
    PubMed

    Insights

    Acute pneumonia caused by Pasteurella multocida can occur in elderly patients, particularly those with underlying conditions. Prompt diagnosis via transtracheal aspirates and prolonged high-dose penicillin treatment are crucial for recovery.

    Area of Science:

    • Infectious Diseases
    • Pulmonology
    • Bacteriology

    Background:

    • Elderly patients are susceptible to severe pneumonia.
    • Chronic obstructive lung disease and aspiration events increase pneumonia risk.

    Observation:

    • Two elderly patients presented with acute pneumonia.
    • Pasteurella multocida was initially missed in sputum cultures.
    • One patient developed lung abscess due to delayed pathogen identification.

    Findings:

    • Pasteurella multocida was identified through percutaneous transtracheal aspirates in both cases.
    • Bacteremia was present in one patient.
    • High-dose, prolonged penicillin therapy led to recovery.

    Implications:

    • Highlights the importance of considering Pasteurella multocida in severe pneumonia, especially in at-risk elderly patients.
    • Emphasizes the diagnostic value of transtracheal aspirates when initial cultures are negative.
    • Suggests aggressive antibiotic treatment protocols for effective management of Pasteurella multocida pneumonia.

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