Department of Emergency Medicine, UZ Leuven, Leuven, Belgium.
Department of Intensive care, UZ Brussels, Jette, Belgium.
BMC Geriatr. 2023 Sep 1;23(1):533. doi: 10.1186/s12877-023-04224-2.
We present a case of an elderly woman suffering from Pasteurella multocida (P. multocida) bacteremia, without obvious bite marks, but owning a pet dog. Although the patient was not immunocompromised, and prompt treatment with intravenous antibiotics was initiated, she developed severe septic shock with multiple organ failure and died. In healthy individuals, an infection caused by these bacteria is easy to treat and often harmless, whereas in elderly serious complications can occur. We believe this report of a fatal outcome of a P. multocida bacteremia in a non-immunocompromised, but elderly patient is important, given the growing cohort of elderly pet-owners seeking medical care. A greater awareness of this zoonosis and its potentially fatal outcome is warranted.
我们报告了一例老年女性患有多杀巴斯德菌（Pasteurella multocida，P. multocida）菌血症的病例，该患者无明显咬伤痕迹，但养有宠物狗。尽管患者没有免疫功能低下，并且及时给予了静脉内抗生素治疗，但她仍发生了严重的感染性休克合并多器官功能衰竭并死亡。在健康人群中，由这些细菌引起的感染很容易治疗，通常也不会造成伤害，然而在老年人中则可能会出现严重并发症。我们认为，对于非免疫功能低下但年龄较大的宠物主人寻求医疗护理的情况，这例 P. multocida 菌血症导致的致命后果的报告很重要。鉴于越来越多的老年宠物主人寻求医疗护理，我们有必要提高对这种人畜共患病及其潜在致命后果的认识。
