Septic shock due to Pasteurella multocida bacteremia: a case report.

MedStar author(s):
Citation: Journal of Medical Case Reports [Electronic Resource]. 9:159, 2015.PMID: 26163266Institution: MedStar Washington Hospital CenterDepartment: MedicineForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Pasteurella Infections/co [Complications] | *Pasteurella multocida/ip [Isolation & Purification] | *Shock, Septic/mi [Microbiology] | Aged, 80 and over | Animals | Anti-Bacterial Agents/tu [Therapeutic Use] | Bites and Stings/mi [Microbiology] | Cats | Cilastatin/tu [Therapeutic Use] | Drug Combinations | Female | Humans | Imipenem/tu [Therapeutic Use] | Pasteurella Infections/dt [Drug Therapy] | Pasteurella multocida/de [Drug Effects] | Shock, Septic/dt [Drug Therapy]Year: 2015Local holdings: Available online through MWHC library: 2007 - presentISSN:
  • 1752-1947
Name of journal: Journal of medical case reportsAbstract: CASE PRESENTATION: An 82-year-old African American woman with multiple comorbidities presented with fever, vomiting and diarrhea; she later developed septic shock requiring vasopressors and intubation. She was found to have Pasteurella multocida bacteremia. Her hospital course was complicated by a pulseless electrical activity arrest. She had exposure to her pet cat at home. We believe that a possible portal of entry was her skin; however, other possibilities such as respiratory tract could not be excluded. She was treated with imipenem-cilastatin and discharged after 25 days.CONCLUSIONS: Studies have shown a mortality range from 7 to 31% in Pasteurella bacteremia. Due to an increasing number of pets and high mortality of this disease, it is important to have a high suspicion for this infection, especially in elderly and immunocompromised patients.INTRODUCTION: Pasteurella is a Gram-negative coccobacillus that causes a wide spectrum of diseases in humans and is commonly transmitted from cat and dog bites. An increasing number of cats and dogs are kept as pets in American households which increases the risk of pet-related infections.All authors: Farhat F, Narsana NFiscal year: FY2016Date added to catalog: 2016-05-24
Holdings
Item type Current library Call number Status Date due Barcode
Journal Article MedStar Authors Catalog 26163266 Available 26163266

Available online through MWHC library: 2007 - present

CASE PRESENTATION: An 82-year-old African American woman with multiple comorbidities presented with fever, vomiting and diarrhea; she later developed septic shock requiring vasopressors and intubation. She was found to have Pasteurella multocida bacteremia. Her hospital course was complicated by a pulseless electrical activity arrest. She had exposure to her pet cat at home. We believe that a possible portal of entry was her skin; however, other possibilities such as respiratory tract could not be excluded. She was treated with imipenem-cilastatin and discharged after 25 days.

CONCLUSIONS: Studies have shown a mortality range from 7 to 31% in Pasteurella bacteremia. Due to an increasing number of pets and high mortality of this disease, it is important to have a high suspicion for this infection, especially in elderly and immunocompromised patients.

INTRODUCTION: Pasteurella is a Gram-negative coccobacillus that causes a wide spectrum of diseases in humans and is commonly transmitted from cat and dog bites. An increasing number of cats and dogs are kept as pets in American households which increases the risk of pet-related infections.

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