Multiorgan Failure and Refractory Lactic Acidosis due to Pasteurella multocida Septicemia in a Patient with No Animal Exposure

Case Reports in Infectious Diseases
Damaris PenaMisbahuddin Khaja

Abstract

Pasteurella multocida is a gram-negative coccobacillus pathogenic to animals. It can cause infection in humans by a bite, scratch, or lick from a cat or dog. P. multocida can cause a variety of infections in humans, including cellulitis, osteomyelitis, endocarditis, peritonitis, and septic shock. A 56-year-old male presented to our hospital with a 2-day history of fever, abdominal pain, nausea, and vomiting. He denied exposure to cats, dogs or other pets. He had severe respiratory distress requiring ventilator support, profound septic shock requiring multiple vasopressors, severe lactic acidosis, and renal failure requiring emergent hemodialysis. Blood cultures confirmed the presence of P. multocida. The patient subsequently died of cardiopulmonary arrest due to multiorgan failure with refractory shock. P. multocida septicemia can lead to septic shock. Early identification of this organism may decrease mortality. Although our patient had no known cat or dog exposure, physicians should enquire about a history of animal exposure when a patient presents with an infection with no obvious cause.

References

Jul 1, 1995·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·G Ruiz-IrastorzaC Aguirre
Jun 1, 1993·Zentralblatt Für Bakteriologie : International Journal of Medical Microbiology·F Escande, C Lion
May 26, 1999·The Journal of Infection·F MichelD Chassard
Mar 9, 2004·Journal of Comparative Pathology·P-Y DonnioJ-L Avril
Sep 15, 2004·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Ryosuke KimuraMakoto Ito
Mar 28, 2006·International Journal of Antimicrobial Agents·C LionA Lozniewski
Feb 12, 2009·Archives of Disease in Childhood. Fetal and Neonatal Edition·N NakwanK Chokephaibulkit
Dec 22, 2010·Ear, Nose, & Throat Journal·Penelope J Harris, Michael B Osswald
Oct 15, 2013·Surgical Infections·Hiroshi NagataNobuyasu Kano
Dec 11, 2014·The New England Journal of Medicine·Jeffrey A Kraut, Nicolaos E Madias
Jul 15, 2015·Journal of Medical Case Reports·Niyati Narsana, Faria Farhat
Sep 12, 2015·Medicine·Antonio GiordanoDon C Rockey

❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray
bronchoalveolar lavage
light microscopy

Related Concepts

Related Feeds

Cellulitis

Cellulitis (erysipelas) is a recurring and debilitating bacterial infection of the skin and underlying tissue. Discover the latest research on cellulitis here.