Hey Penelope, Gow Paul, Torresi Joseph, Testro Adam
Department of Gastroenterology, Austin Health, Heidelberg, Victoria, Australia.
BMJ Case Rep. 2012 Nov 11;2012:bcr2012007397. doi: 10.1136/bcr-2012-007397.
Pasteurella multocida is a Gram-negative coccobacillus that colonises the upper airways of many animals, in particular, dogs and cats. It acts as an opportunistic infection in humans following an animal bite or scratch and is associated with soft tissue infections, septicaemia and pneumonia, particularly in patients with a compromised immune response, such as patients with liver failure. Spontaneous bacterial peritonitis (SBP) is a serious complication of cirrhosis with a death rate of 10-15%. We report a case of a 47-year-old man with cirrhosis who presented with life-threatening P multocida SBP and bacteraemia secondary to a lick from a cat to a cellulitic leg wound. This case highlights the potential severity of an infection from domestic animals and an otherwise innocuous organism in an immunocompromised host.
多杀巴斯德菌是一种革兰氏阴性球杆菌，可定植于许多动物的上呼吸道，尤其是狗和猫。在人类被动物咬伤或抓伤后，它会引发机会性感染，并与软组织感染、败血症和肺炎有关，特别是在免疫反应受损的患者中，如肝功能衰竭患者。自发性细菌性腹膜炎（SBP）是肝硬化的一种严重并发症，死亡率为10%至15%。我们报告一例47岁肝硬化男性病例，该患者因猫舔舐腿部蜂窝织炎伤口而出现危及生命的多杀巴斯德菌性SBP和菌血症。该病例突出了免疫功能低下宿主中来自家畜和原本无害生物体感染的潜在严重性。
