Zarlasht Fnu, Khan Muzammil
Department of Medicine, Our Lady of Lourdes Hospital, Binghamton, NY, USA.
Am J Case Rep. 2018 Jan 25;19:95-98. doi: 10.12659/ajcr.907251.
BACKGROUND Pasteurella multocida is a gram negative-penicillin sensitive bacterium and is part of normal respiratory microbiota of animals (e.g., cats and dogs) and some birds. Various infections in humans, such as cellulitis, rarely bacteremia, endocarditis, meningitis, and septic arthritis, are a result of domestic cat or dog bites. These infections are rarely seen in an immunocompetent person, without an associated animal bite. CASE REPORT We present a case of refractory Pasteurella multocida bacteremia without any animal bite in an immunocompetent person. CONCLUSIONS Pasteurella multocida bacteremia has been seen in immunocompromised patients and mostly after a cat or dog bite or scratch but might also happen in immunocompetent humans with only pet licking rather than biting, which might increase hospital and emergency department visits or admissions in the future.
背景 多杀巴斯德菌是一种革兰氏阴性、对青霉素敏感的细菌,是动物(如猫和狗)以及一些鸟类正常呼吸道微生物群的一部分。人类的各种感染,如蜂窝织炎、罕见的菌血症、心内膜炎、脑膜炎和化脓性关节炎,都是家猫或狗咬伤的结果。在没有相关动物咬伤的免疫功能正常的人中,这些感染很少见。病例报告 我们报告一例免疫功能正常的人发生难治性多杀巴斯德菌菌血症且无任何动物咬伤的病例。结论 多杀巴斯德菌菌血症在免疫功能低下的患者中可见,且大多发生在猫或狗咬伤或抓伤后,但在仅被宠物舔舐而非咬伤的免疫功能正常的人中也可能发生,这可能会增加未来医院和急诊科的就诊或住院人数。