Arashima Y, Kumasaka K, Okuyama K, Tsuchiya T, Kawano K, Koizumi F, Sano K, Kaya H
Department of Clinical Pathology, Nihon University School of Medicine.
Kansenshogaku Zasshi. 1992 Feb;66(2):232-5. doi: 10.11150/kansenshogakuzasshi1970.66.232.
A 53-year-old male visited our hospital due to nasal obstruction persisting for 6 months and constant rhinorrhea. Pasteurella multocida subsp. multocida was isolated from his nasal discharge and lavage fluid of the maxillary sinus, and also from the oral cavity of the dog he kept. The bacterial strains isolated from the patient and dog were identical in terms of biochemical properties, and drug sensitivity. Although serotype was different, the strain from the patient showed (A:6) and that from his dog showed (A:5). The microorganism is not present in the general environment. The patient had contact with his dog such as he kissed it frequently, gave it food with his chopsticks et al.. From the mouth of the people who kiss one's dog, we detected Pasteurella of the same character of bacteria as from the mouth of the dog. We detected two Pasteurella multocida of different character from only one mouth of a cat. Pasteurella multocida was checked in only one colony for sero type. Sero type A is the popular type for dogs and cats. The above suggest that their was a high possibility that the Pasteurella multocida subsp. multocida found in the patient was from his dog. In Japan, the incidence of Pasteurella multocida subsp. multocida infection has been increasing. In 1969, the Japanese Ministry of Health and Welfare officially communicated this infection as a zoonosis to related institutions. At both medical and surgical departments, wither the patient keeps a pet should be confirmed during interview, and guidance of pet keeping methods is important in some cases from the aspect of clinical bacteriology.(ABSTRACT TRUNCATED AT 250 WORDS)
一名53岁男性因鼻塞持续6个月且伴有持续性鼻漏前来我院就诊。从其鼻腔分泌物、上颌窦灌洗液以及他饲养的狗的口腔中分离出多杀巴斯德菌多杀亚种。从患者和狗身上分离出的菌株在生化特性和药敏性方面相同。虽然血清型不同，患者身上分离出的菌株为（A:6）型，其狗身上分离出的菌株为（A:5）型。这种微生物在一般环境中并不存在。患者与他的狗有亲密接触，比如经常亲吻它、用筷子喂它食物等。从亲吻狗的人的口腔中，我们检测到了与狗口腔中具有相同细菌特征的巴斯德菌。我们仅从一只猫的口腔中检测到了两种不同特征的多杀巴斯德菌。仅在一个菌落中检查了多杀巴斯德菌的血清型。血清型A是狗和猫中常见的类型。上述情况表明，患者体内发现的多杀巴斯德菌多杀亚种很有可能来自他的狗。在日本，多杀巴斯德菌多杀亚种感染的发病率一直在上升。在1969年，日本厚生省正式将这种感染作为一种人畜共患病通报给了相关机构。在内科和外科科室，在问诊时都应确认患者是否饲养宠物，并且从临床细菌学角度来看，在某些情况下指导宠物饲养方法很重要。（摘要截选至250字）
