A Case of <I>Pasteurella multocida</I> Subsp. <I>multocida</I> Septicemia due to Cat Bites in Liver Cirrhosis Patient

DOI PubMed 3 Citations 11 References
  • SHIMIZU Takeshi
    Department of Internal Medicine, Institute of Gastroenterology, Tokyo Women's Medical College
  • HASEGAWA Kiyoshi
    Department of Internal Medicine, Institute of Gastroenterology, Tokyo Women's Medical College
  • MITSUHASHI Youko
    Department of Internal Medicine, Institute of Gastroenterology, Tokyo Women's Medical College
  • KOJIMA Shinji
    Department of Internal Medicine, Institute of Gastroenterology, Tokyo Women's Medical College
  • ISHIKAWA Kayo
    Department of Internal Medicine, Institute of Gastroenterology, Tokyo Women's Medical College
  • HAYASHI Naoaki
    Department of Internal Medicine, Institute of Gastroenterology, Tokyo Women's Medical College
  • SAWADA Takushi
    Department of Veterinary Biology, Nippon Veterinary and Animal Science University

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Other Title
  • ネコ咬傷後, <I>Pasteurella multocida</I> subsp. <I>multocida</I>による敗血症を認めた肝硬変患者の1例
  • A Case of Pasteurella multocida Subsp. multocida Septicemia due to Cat Bites in Liver Cirrhosis Patient

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Abstract

A 60-year-old male who had been suffering from liver cirrhosis was admitted to our hospital with high grade fever accompanied by right chest pain. Chest X-rays revealed a moderate amount of pleural fluid suggesting pleuritis. P. multocida was isolated from the blood culture as well as the pleural fluid. Antibiotic therapy was initiated according to the drug susceptibility of the isolates. Ten days treatment was effective on the cessation of both septicemia and the clinical symptoms.<BR>Since the patient had been bitten several times by his own pet cats, their mouth swabs were taken for pathogenic investigations. Serotypes of the cats' isolates coincided with that of the patient's which consequently indicated the route of infection.<BR>P. multocida is a Gram negative coccobacillary organism that resides as normal flora in the oral cavity of animals, including dogs and cats. It has been originally known to be a causative agent for hemorrhagic septicemia in domestic animals. However, recently, reports of P. multocida infections in man has been increasing due to the enlargement of pet populations. Although outbreaks of septicemia is rare, it occurs most ofetn in immunologically compromised hosts, including patients with liver cirrhosis as in this case.<BR>Therefore, it is important to initiate an urgent antibiotic therapy in such cases. Overall, it is of utmost importance to instruct immunosuppressed patients to avoid excessive exposure to animals including pets.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 69 (11), 1302-1306, 1995

    The Japanese Association for Infectious Diseases

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