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Pasteurella multocida infectious arthritis with acute gout after a cat bite
1Department of Medicine, University of Connecticut School of Medicine, Farmington, USA.
Abstract:
A 74-year-old man with chronic lymphocytic leukemia, immune purpura, and gout presented with a painful, swollen ankle after a cat bite to his leg. On aspiration of the ankle, gram negative pleomorphic rods and monosodium urate crystals were seen and Pasteurella multocida was cultured. He was treated with ampicillin/sulbactam, joint aspiration, and intraarticular steroids, with resolution of infection and return of joint function. The syndromes of Pasteurella arthritis and crystal arthropathy with septic arthritis are reviewed.
Insights
A cat bite led to a Pasteurella multocida ankle infection in a patient with chronic lymphocytic leukemia. Prompt treatment with antibiotics and joint aspiration resolved the infection and restored joint function.
Area of Science:
- Infectious Diseases
- Rheumatology
- Hematology
Background:
- A 74-year-old male patient with chronic lymphocytic leukemia, immune purpura, and gout presented with acute ankle pain and swelling.
- The patient had a history of a cat bite on his leg preceding the joint symptoms.