Wine N, Lim Y, Fierer J
Department of Medicine, Veterans Affairs San Diego Healthcare System, Calif. 92161, USA.
Arch Otolaryngol Head Neck Surg. 1997 Jul;123(7):759-61. doi: 10.1001/archotol.1997.01900070103018.
Pasteurella multocida, a small gram-negative coccobacillus, colonizes the nasopharynx and gastrointestinal tract of many animals, including cats and dogs. Most human infections with P multocida are due to animal bites, but the respiratory tract is the second most common site of infection. We describe the third case report (to out knowledge) of acute P multocida epiglottitis. The mode of transmission in this case was inhalation of infectious nasopharyngeal secretions from cats. The patient responded well to treatment with penicillin, the drug of choice for P multocida infections. Therefore, infection with P multocida, though rare, should be considered in the differential diagnosis in any case involving acute epiglottitis and exposure to cats.
多杀巴斯德菌是一种革兰氏阴性短小球杆菌,可在包括猫和狗在内的许多动物的鼻咽部和胃肠道定植。大多数人类多杀巴斯德菌感染是由动物咬伤引起的,但呼吸道是第二常见的感染部位。我们描述了(据我们所知)第三例急性多杀巴斯德菌会厌炎的病例报告。该病例的传播途径是吸入来自猫的传染性鼻咽分泌物。患者对青霉素治疗反应良好,青霉素是治疗多杀巴斯德菌感染的首选药物。因此,在任何涉及急性会厌炎且接触过猫的病例的鉴别诊断中,都应考虑多杀巴斯德菌感染,尽管这种感染很罕见。