没有动物咬伤的Pasteurella multocida细菌病和败血性关节炎在一个老年患者成功管理没有关节排水:一个案例报告
Masaatsu Kuwahara1, Hideaki Imanaka1
1Department of Emergency Medicine and Critical Care Medicine, Takarazuka City Hospital, Takarazuka, JPN.
Cureus
|March 6, 2026
概括
在老年人暴露于猫后,即使没有被咬过,也可能发生Pasteurella multocida bacteremia和败血性关节炎. 这一案例表明,对于这种罕见的感染,抗微生物治疗成功,没有关节排水.
科学领域:
- 传染性疾病 传染性疾病
- 微生物学 微生物学
- 类风湿病学 类风湿病学
背景情况:
- 帕斯图雷拉多,一种格拉姆阴性可可巴菌,通常在动物咬伤或划伤后引起感染.
- 侵袭性P. multocida感染很少见,特别是在免疫能力强的个体中,没有明显的动物损伤史.
研究的目的:
- 报告一个老年患者患有P. multocida细菌病和败血性关节炎的病例,该患者曾接触过家猫,但没有咬伤史.
- 强调在老年人与动物接触的全身感染中考虑P. multocida的重要性,即使没有咬伤伤口.
主要方法:
- 一个82岁的老妇人出现发烧和小腿疼痛的病例报告.
- 进行了血液和突液培养.
- 患者接受了抗微生物药物治疗.
主要成果:
- 在血液和突液培养物中发现了P. multocida.
- 患者仅用抗微生物药物治疗就恢复了,不需要关节排水.
- 重复的突液培养结果呈阴性,表明治疗成功.
结论:
- 应考虑P. multocida在老年患者的系统性感染的差异诊断中,无论咬伤史如何,都应与动物接触.
- 在某些特定情况下,用抗菌药物治疗进行保守的管理可能对P. multocida败血性关节炎有效.
- 及时诊断和适当的抗微生物治疗对于有利的结果至关重要.
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