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Hemoptysis as the sole presentation of Pasteurella multocida infection

D A Sazon1, G W Hoo, S Santiago

  • 1Pulmonary and Critical Care Section, West Los Angeles VAMC, Calif 90703, USA.

Southern Medical Journal
|May 23, 1998
PubMed

Insights

Pasteurella multocida typically causes lung issues, but this case showed hemoptysis as the only symptom. Prompt diagnosis and high-dose penicillin resolved the infection in a patient with severe obstructive lung disease.

Area of Science:

  • Infectious Diseases
  • Pulmonology
  • Microbiology

Background:

  • Pasteurella multocida is a known pathogen causing diverse respiratory infections, including pneumonia and bronchitis.
  • Hemoptysis (coughing up blood) is an uncommon presentation, usually associated with concurrent lung pathologies.

Observation:

  • A middle-aged male patient with severe obstructive lung disease presented with hemoptysis as the sole clinical manifestation.
  • The patient had a history of exposure to domestic cats, a common reservoir for Pasteurella multocida.

Findings:

  • Bronchoscopy confirmed Pasteurella multocida infection presenting solely as hemoptysis.
  • Treatment with high-dose penicillin was effective in resolving the infection and symptoms.

Implications:

  • This case highlights that hemoptysis can be the exclusive sign of Pasteurella multocida infection, even in immunocompromised individuals.
  • Clinicians should consider Pasteurella multocida in the differential diagnosis of hemoptysis, particularly in patients with risk factors like COPD and animal exposure.
  • Early diagnosis via bronchoscopy and appropriate antibiotic therapy are crucial for favorable outcomes.

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