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不仅仅是一例蜂窝织炎:多杀巴斯德菌血症

More Than a Case of Cellulitis: Pasteurella multocida Bacteremia.

作者信息

Barsi Zahra E, Allen Jesse, Meza Armando

机构信息

Division of Infectious Diseases, Texas Tech University Health Sciences Center El Paso, Paul L. Foster School of Medicine, El Paso, USA.

Division of Infectious Diseases, Texas Tech University Health Sciences Center El Paso, El Paso, USA.

出版信息

Cureus. 2023 Mar 13;15(3):e36096. doi: 10.7759/cureus.36096. eCollection 2023 Mar.

Abstract

() is an anaerobic Gram-negative coccobacilli belonging to the Pasteurella genus. It is found in many animals' oral cavities and gastrointestinal tracts, including those of cats and dogs. In this case report, we present an individual with cellulitis of the lower extremity who was later found to have bacteremia. The patient had four pet dogs and one pet cat. He denied obtaining any scratches or bites from the pets. The patient initially presented to an urgent care center complaining of a one-day history of proximal left lower extremity edema, erythema, and pain. He was diagnosed with left leg cellulitis and discharged home on antibiotics. Three days after the patient was discharged home from the urgent care center, blood cultures returned positive for . The patient was then admitted for inpatient treatment with intravenous antibiotics. Clinicians should always ask about domestic and wild animal exposure, even in the absence of bites or scratches. In the immunocompromised patient presenting with cellulitis, clinicians should consider the possibility of bacteremia in those with pet exposure.

摘要

()是一种属于巴斯德氏菌属的厌氧革兰氏阴性球杆菌。它存在于许多动物的口腔和胃肠道中,包括猫和狗的口腔和胃肠道。在本病例报告中,我们介绍了一名下肢蜂窝织炎患者,该患者后来被发现患有菌血症。患者养了四只宠物狗和一只宠物猫。他否认被宠物抓伤或咬伤。患者最初到紧急护理中心就诊,主诉左下肢近端有一天的水肿、红斑和疼痛病史。他被诊断为左腿蜂窝织炎,并在服用抗生素后出院回家。患者从紧急护理中心出院回家三天后,血培养结果显示()呈阳性。然后患者因静脉注射抗生素而入院接受住院治疗。临床医生应始终询问患者是否接触过家畜和野生动物,即使没有咬伤或抓伤。对于出现蜂窝织炎的免疫功能低下患者,临床医生应考虑在有宠物接触史的患者中发生菌血症的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beba/10097429/f84417e39c30/cureus-0015-00000036096-i01.jpg

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