Pasteurella rnultocida Pneumonia and Bacteremia

Milder, James E.; HALL, NEIL K.; Finley, Richard A.; City, Johnson

doi:10.1097/00007611-197709000-00035

Cited by 20 publications

(10 citation statements)

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“…Indeed, our data are consistent with several case reports that have described bacteremia occurring predominantly in patients with preexisting liver disease or in immunosuppressed patients. 1 , 2 , 8 , 9 , 14 , 17 , 19 – 21 …”

Section: Discussionmentioning

confidence: 99%

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Clinical Features and Outcomes of Pasteurella multocida Infection

et al. 2015

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Pasteurella multocida, a zoonotic infectious organism, has most often been described in patients after an animal bite. Here, we characterize the clinical features and outcomes of P multocida infection in a large cohort of patients according to the presence or absence of an animal bite.We retrospectively searched MUSC's laboratory information system for all patients with positive P multocida cultures from 2000 to 2014. Extensive data were abstracted, including clinical and outcome data. The Charlson comorbidity index (CCI) was used to assess comorbidities among patients.We identified 44 patients with P multocida infections, including 25 with an animal bite. The average age was 64 years and the majority of patients were women (N = 30). There was no difference in age and sex distribution among those with and without a bite (P = 0.38 and 0.75, respectively). A CCI ≥1 was significantly associated with the absence of a bite (P = 0.006). Patients presenting without a bite were more frequently bacteremic (37% vs 4%, respectively, P = 0.001), and were hospitalized more often (84% vs 44%, respectively, P = 0.012). Of the 8 patients who required intensive care unit (ICU)-based care, 7 were non-bite-related. There were 4 deaths, all occurring in patients not bitten.P multocida infections not associated with an animal bite were often associated with bacteremia, severe comorbidity(ies), immune-incompetent states, the need for ICU management, and were associated with substantial mortality.

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Section: Discussionmentioning

confidence: 99%

“… 1 , 8 , 12 – 18 P multocida appears to act as an opportunistic pathogen with a predilection for causing bacteremia in patients with liver dysfunction or in immunosuppressed patients. 1 , 2 , 8 , 9 , 12 , 19 – 21 …”

Section: Introductionmentioning

confidence: 99%

Clinical Features and Outcomes of Pasteurella multocida Infection

et al. 2015

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“…Most recent cases of Pasteurella pneumonia have occurred in patients older than 75 years of age. Milder et al 11 reported the case of a 76‐year‐old man who had chronic obstructive pulmonary disease and was on a maintenance regimen of steroids who developed acute‐onset pneumonia and grew P. multocida in sputum and blood cultures. The patient kept 12 cats at home but had no history of bites or scratches.…”

Section: Discussionmentioning

confidence: 99%

Pasteurella multocida Pneumonia in an Elderly Patient

Berk¹,

Ortega²,

Kasprzyk³

et al. 1984

J American Geriatrics Society

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“…Pasteurella multocida is a Gram-negative coccobacillus and is known to be a zoonotic agent of human disease. [1][2][3][4] The organism can be isolated from oropharyngeal secretions of domestic animals, particularly cats, dogs and pigs, as well as various wild animals. 1,[3][4][5][6] Approximately half of P. multocida infections are due to animal bites or animal exposure, usually cats.…”

Section: Introductionmentioning

confidence: 99%

“…1,3,4,7,8 Cases unrelated to animals have also been reported. 1,2,4,9 Local wound infections can be complicated by abscess formation, osteomyelitis or septic arthritis. 1,10 P. multocida can cause a variety of upper and lower respiratory tract infections.…”

Section: Introductionmentioning

confidence: 99%

Bacteremic community-acquired pneumonia due to Pasteurella multocida

Kofteridis

Christofaki

Mantadakis

et al. 2009

International Journal of Infectious Diseases

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An 87-year-old man was admitted to hospital because of fever, productive cough, dyspnea and altered consciousness. His medical history was significant for chronic obstructive pulmonary disease. He owned several pets. Physical examination and a chest radiograph revealed right upper lobe pneumonia. Blood cultures taken on admission yielded Pasteurella multocida and antimicrobial susceptibility testing showed susceptibility to beta-lactams. The fever subsided four days after treatment with intravenous ceftriaxone and the patient was discharged in a very good clinical condition after two weeks of treatment. Although no history of bites or scratches was documented, it is likely that our patient was exposed to the secretions of his many pets through inhalation of contaminated aerosols. This resulted in tracheobronchial tree colonization by P. multocida, which later developed into pneumonia. Close animal contact should be avoided by frail, elderly patients with chronic pulmonary diseases, as it is a risk factor for pneumonia due to Pasteurella spp.

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Pasteurella rnultocida Pneumonia and Bacteremia

Cited by 20 publications

References 0 publications

Clinical Features and Outcomes of Pasteurella multocida Infection

Clinical Features and Outcomes of Pasteurella multocida Infection

Pasteurella multocida Pneumonia in an Elderly Patient

Bacteremic community-acquired pneumonia due to Pasteurella multocida

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