Title: Beware of Dog and cat bites! Beware of Pasturella pneumotropica - A Rare Case Report

Authors: Dr Binish Gulzar, Dr Chitralekha Saikumar

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i10.44

Abstract

Introduction

Pasturella pneumotropica are small, gram-negative , oxidase positive bacilli that colonize the mucous membranes of domestic and wild animals but these are not present usually in the normal flora in human beings[1][2].  Infection in humans is mainly caused by the bites, saliva and scratches of animals[3][4][5]. Lymphangitis and cellulitis are the common clinical presentation resulting from the direct exposure and that can be complicated by tenosynovitis, osteomyelitis, bone abscess and septic arthritis[7]. Pasturella speciescan rarely cause localized infectionslike conjunctivitis and Otitis media[6]. Respiratory tract infectionscan occur due to the inhalation of bacteria[8].  Many systemic infections likebrain abscess, bacteremia, meningitis and peritonitis and endocarditis can be caused by Pasturella species[9][10]. Meningitis in infants occur due to the animal contact.Pasturella multocida is the commonest pathogen that is frequently isolated from wounds by animal bites [11]. Other Pasturella species are Pasturella pneumotropica, Pasturella haemolytica and Pasturella ureae that can be differentiated on the basis of different biochemical tests and are rare in humans. Here we report a case of Pasturella pneumotropica from a patient with osteomyelitis with a history of dog or cat bites P. pneumotropica was described by Jawetz in 1950 in among rats and mice where it causes various infections[12].

Keywords: Meningitis, Debridement, Bacteremia, Cellulitis.

References

  1. Bisgaard, M. Ecology and significance of PasteurellaceaeIn animals. Zentralbl. Bakteriol. 279:7-26.
  2. Weber, D. J., J. S. Wolfson, M. N. Swartz, and D. C. Hooper.Pasteurella multocidainfections. Report of 34 cases and review of the literature. Medicine  63:133-154.
  3. Holst, E., J. Rollof, L. Larsson, and J. P. Neilsen.1992. Characterization and distri-bution of Pasteurella species recovered from infected humans.  Clin. Microbiol. 30:2984-2987.
  4. Talan, D. A., D. M. Citron, F. M. Abrahamian, G. J. Moran, and E. J. C. Goldstein.1999. Bacteriologic analysis of infected dog and cat bites.  Engl. J. Med. 340:85-92.
  5. Wade, T., R. Booy, E. L. Teare, and S. Kroll.Pasteurella multocida meni-ngitis in infancy (a lick may be as bad as a bite). Eur. J. Pediatr.158:875-878.
  6. Zurlo, J. J.Pasteurella species, p. 2402-2406. In: G. L. Mandell, R. G. Douglas, and J. E. Bennet (ed.). Principles and practice of infectious diseases, 5th ed. Churchill Livingstone, Philadelphia, Pa.
  7. Goldstein, E. J. C.1992. Bite wounds and infection.  Infect. Dis.14:633-640.
  8. Klein, N., and B. A. Cunha.1997.  Pasteurella multocida Semin. Respir. Infect. 12:54-56.
  9. Green, B. T., K. M. Ramsey, and P. E. Nolan.Pasteurella multocida meni-ngitis: case report and review of the last 11 years. Scand. J. Infect. Dis.34:213-2
  10. Holst, E., J. Rollof, L. Larsson, and J. P. Neilsen. Characterization and distribution of Pasteurellaspecies recove-red from infected humans. J. Clin. Microbiol. 30:2984-2987.
  11. Arons, M. S., L. Fernando, aied I. M. Polayes. 1982. Pasteurellamnultocida-the major cause ofhand infections following domestic animal bites. J. Hand Surg. 7:47-52.
  12. Simmons, 0. J. C., and W. Simpson. 1977. The biochemical and cultural charact-eristics of Pasteurella pneumotropica. Med. Lab. Sci. 34:145-148.

Corresponding Author

Dr Binish Gulzar

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.