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非咬伤性动物接触后患者发生多杀巴斯德菌菌血症和脓毒性关节炎

Pasteurella Multocida Bacteremia and Septic Arthritis in a Patient With Non-Bite Animal Exposure.

作者信息

Leonhardt Lex P, Pervez Aamir, Tang Wesley

机构信息

Internal Medicine Residency, Kettering Medical Center, Dayton, USA.

出版信息

Cureus. 2021 Mar 28;13(3):e14162. doi: 10.7759/cureus.14162.

Abstract

() is a gram-negative, facultative anaerobe, and it is most commonly found in the oropharynx of healthy domestic animals, especially cats and dogs.  is classified as an opportunistic pathogen, infecting individuals only through direct contact via local trauma caused by animal bites or scratches. More serious infections, while rare, are typically associated with immunocompromised states, known pre-existing cavitary lung pathology, or malignancy. In this report, we present a case of infection without known trauma, which had likely spread via respiratory droplets causing bacteremia, septic shock, and subsequent septic arthritis of the left knee.

摘要

()是一种革兰氏阴性兼性厌氧菌,最常见于健康家畜的口咽部,尤其是猫和狗。它被归类为机会性病原体,仅通过动物咬伤或抓伤引起的局部创伤直接接触感染个体。更严重的感染虽然罕见,但通常与免疫功能低下状态、已知的既往空洞性肺部病变或恶性肿瘤有关。在本报告中,我们介绍了一例无已知创伤的感染病例,该感染可能通过呼吸道飞沫传播,导致菌血症、感染性休克及随后的左膝化脓性关节炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6e4/8079206/f083358de859/cureus-0013-00000014162-i01.jpg

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