FatalPasteurella dagmatisperitonitis and septicaemia in a patient with cirrhosis: a case report and review of the literature

Journal of Clinical Pathology - Tập 57 Số 2 - Trang 210-212 - 2004
Billy D. Ashley1, Marianne Noone2, A D Dwarakanath1, H. Malnick3
1University Hospital of North Tees, Hardwick, Stockton on Tees TS19 8PE, UK
2Hardwick, Stockton on Tees TS19 8PE, UK
3Laboratory of Health Care Associated Infection, Health Protection Agency, London NW9 5HT, UK

Tóm tắt

Pasteurella species cause zoonotic infections in humans. Human pasteurella infections usually manifest as local skin or soft tissue infection following an animal bite or scratch. Systemic infections are less common and are limited to patients at the extremes of age or those who have serious underlying disorders, including cirrhosis. Most human pasteurella infections are caused by the multocida species. We report a case ofPasteurella dagmatisperitonitis and septicaemia in a patient with cirrhosis. The infection followed a scratch inflicted by a pet dog. Despite appropriate antibiotic treatment the infection proved fatal. Spontaneous bacterial peritonitis caused byP dagmatishas not been reported previously.Pasteurella dagmatisis a relatively recently described species, which is rarely reported as a human pathogen. This species may be misidentified unless commercial identification systems are supplemented by additional biochemical tests.

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