Shih Chiu-Yu, Chen Hsin-Yao
Department of Orthopedic Surgery, Changhua Christian Hospital, 135 Nanhsiao Street, Changhua City 50006, Taiwan.
IDCases. 2022 Jul 2;29:e01560. doi: 10.1016/j.idcr.2022.e01560. eCollection 2022.
Pasteurella multocida is a small facultative anaerobic Gram-negative coccobacillus. Bites or scratches from cats or dogs are common transmission route causing zoonotic infections in humans. The pathogen rarely cause prosthetic joint infection. We report the first case, to our knowledge, of a prosthetic joint infection in a patient underwent liver transplantation caused by this pathogen. Pasteurella multocida is a high pace growing pathogen. Physician should raise awareness with related history especially in patients with immunosuppressive status. Management with the proper antibiotics administration in conjunction with timely surgical intervention could prevent devastating complications and preserve the artificial joint.
多杀巴斯德菌是一种小型兼性厌氧革兰氏阴性球杆菌。猫或狗的咬伤或抓伤是导致人类人畜共患病感染的常见传播途径。该病原体很少引起人工关节感染。据我们所知,我们报告了首例由这种病原体引起的肝移植患者人工关节感染病例。多杀巴斯德菌是一种生长迅速的病原体。医生应提高对相关病史的认识,尤其是在免疫抑制状态的患者中。适当使用抗生素并及时进行手术干预可以预防严重并发症并保留人工关节。