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犬舔并非无害:源自家养犬的多杀巴斯德菌血症

Dogs Licks Are Not Benign: Pasturella Multocida Bacteremia From Household Dog.

作者信息

Hageboeck Shepherd Katherine, Colantonio Mark, Santer Matthew, Mahmud Haseeb, Shannon Brooke

机构信息

Internal Medicine, West Virginia University School of Medicine, Morgantown, USA.

出版信息

Cureus. 2024 Apr 18;16(4):e58554. doi: 10.7759/cureus.58554. eCollection 2024 Apr.

DOI:10.7759/cureus.58554
PMID:38765386
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11102085/
Abstract

is a gram-negative coccobacilli commonly colonized in the oral, nasopharyngeal, and upper respiratory tracts of animals. Infections due to range in severity, and symptoms largely depend on underlying immune status and co-morbid conditions. Widely known, the transmission of is commonly thought to occur through biting and skin breakage alone. However, multiple studies have highlighted instances of severe complications secondary to transmission through the passage of through animal licking alone without skin disruption. Here, we present a case of a nonagenarian female presenting with septic shock secondary to with the source of transmission found to be secondary to the patient's dog licking her chronic leg wounds. We also highlight other instances of similar transmission through a literature review, including common treatment courses. We aim to raise awareness of common transmissions of bacteria, specifically , along with broadening differentials when one presents with skin and soft tissue infections.

摘要

是一种革兰氏阴性球杆菌,通常定植于动物的口腔、鼻咽和上呼吸道。感染的严重程度各不相同,症状很大程度上取决于潜在的免疫状态和合并症。众所周知,通常认为仅通过咬伤和皮肤破损传播。然而,多项研究强调了仅通过动物舔舐而无皮肤破损传播继发严重并发症的情况。在此,我们报告一例90岁女性因感染引发感染性休克的病例,发现传播源是患者的狗舔舐其慢性腿部伤口。我们还通过文献综述强调了其他类似传播的案例,包括常见的治疗过程。我们旨在提高对细菌常见传播途径的认识,特别是,同时在出现皮肤和软组织感染时拓宽鉴别诊断范围。

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本文引用的文献

1
Pasteurella multocida bacteremia: A case report of pelvic cavity inflammation with abnormal uterine bleeding, fever, and sclerotic bone lesions.多杀巴斯德菌菌血症:一例伴有盆腔炎症、子宫异常出血、发热及骨质硬化性病变的病例报告
IDCases. 2023 Feb 17;31:e01723. doi: 10.1016/j.idcr.2023.e01723. eCollection 2023.
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Wrist abscess due to drug-resistant .耐药性导致的腕部脓肿
IDCases. 2021 Sep 2;26:e01277. doi: 10.1016/j.idcr.2021.e01277. eCollection 2021.
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Pasteurella bacteraemia: Impact of comorbidities on outcome, based on a case series and literature review.
巴斯德氏菌菌血症:基于病例系列和文献回顾的合并症对预后的影响。
Int J Infect Dis. 2020 Mar;92:89-96. doi: 10.1016/j.ijid.2020.01.003. Epub 2020 Jan 8.
4
Dog licks baby. Baby gets Pasteurella multocida meningitis.狗舔婴儿。婴儿患上多杀巴斯德菌脑膜炎。
Lancet. 2019 May 25;393(10186):e41. doi: 10.1016/S0140-6736(19)30953-5.
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Pasteurella multocida non-native joint infection after a dog lick: A case report describing a complicated two-stage revision and a comprehensive review of the literature.多杀巴斯德菌非原生关节感染继发于狗舔舐:一例复杂两阶段翻修病例报告并文献复习
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Clinical Features and Outcomes of Pasteurella multocida Infection.多杀巴斯德菌感染的临床特征与结局
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Comparative in vitro activity of ertapenem and 11 other antimicrobial agents against aerobic and anaerobic pathogens isolated from skin and soft tissue animal and human bite wound infections.厄他培南与其他11种抗菌药物对从皮肤和软组织动物及人类咬伤伤口感染中分离出的需氧菌和厌氧菌的体外活性比较。
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Bacteriologic analysis of infected dog and cat bites. Emergency Medicine Animal Bite Infection Study Group.感染的犬猫咬伤的细菌学分析。急诊医学动物咬伤感染研究组。
N Engl J Med. 1999 Jan 14;340(2):85-92. doi: 10.1056/NEJM199901143400202.