Intensive Care Unit, General Hospital of Rethymno, 74100 Rethymno, Crete, Greece.
Department of Clinical Microbiology and Microbial Pathogenesis, University Hospital of Heraklion, 71110 Heraklion, Crete, Greece.
J Infect Public Health. 2019 Jan-Feb;12(1):95-96. doi: 10.1016/j.jiph.2018.05.012. Epub 2018 Jun 13.
Pasteurella multocida is a rare cause of bacterial meningitis, more frequently affecting humans at the extremes of age. We report a case of meningitis and bacteremia caused by P. multocida in a 67-year-old diabetic woman who was living with 10 cats. She didn't have any animal bites or scratches, but she reported kissing the pets in the mouth. The outcome was favorable following antimicrobial treatment. Although rarely encountered, P. multocida should be considered as a possible cause of meningitis, particularly when Gram-negative coccobacilli are revealed in the cerebrospinal fluid and a history of recent animal contact is present.
多杀巴斯德菌是细菌性脑膜炎的罕见病因，更常发生于年龄处于极值的人群。我们报告了一例由多杀巴斯德菌引起的脑膜炎和菌血症，患者为一名 67 岁的糖尿病女性，她与 10 只猫一起生活。她没有被动物咬伤或抓伤，但她有亲吻宠物的口腔的行为。经抗菌治疗后，患者结局良好。尽管很少见，但当脑脊液中出现革兰氏阴性球杆菌且存在近期动物接触史时，应考虑多杀巴斯德菌为脑膜炎的可能病因。
