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Órgano Oficial de la Asociación Mexicana de Infectología Pediátrica y la SLIPE.
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2005, Number 74

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Rev Enfer Infec Pediatr 2005; 18.19 (74)

Pasteurella multocida meningitis in a 45 day old infant

Díaz SMPJ, Rocha ERCV, Goldfarb GON
Full text How to cite this article

Language: Spanish
References: 7
Page: 64-68
PDF size: 0. Kb.


Key words:

meningitis, Pasteurella multocida, domestic animals.

ABSTRACT

Pasteurella multocida are facultatively anaerobic Gram negative coccobacilli or bacilli. Oropharingeal carriage occurs in most cats and dogs.
Menigitis due to Pasteurella multocida is rare and most cases occur in infants less than 12 months old. Exposure to domestic animals is frequently observed.
We present a 45 day old neonate with a cat-scratch lesion on the head. He began with fever without any alternative origin and received cephalexin. In less than 24hs he developed clinical manifestations of meningitis. A lumbar puncture is performed and blood cultures obtained before starting with ceftriaxone. Pasteurella multocida was isolated in both blood culture and CSF and amikacin was added to the antibiotic therapy. He completed 14 days without complications and negative CSF culture was obtained in 48hs.
The aim of this work is to highlight the importance of limiting contact between small children and domestic animals as it is the only way to prevent human infections due to Pasteurella multocida.


REFERENCES

  1. Talan D, Citrion D, Abrahamian M, Moran G, Goldstein E. Bacteriologic analysis of infected dog and cats bites. N Engl J Med, January 14, 1999: 85-92.

  2. Goldstein E, Citron D, Wield B. et al. Bacteriology of humans and animal bite wounds. J Clin Microbiol 1978;8:667-72.

  3. Zurlo JJ. Pasteurella species. In: Mandell D, Bennett JE, Dolin R, eds. Principles and Practices of Infectious Diseases. 5th ed. Philadelphia, PA: Churchill Livingstone, 2000:2402–2406.

  4. Hirsh D, Farrel K, Reilly C, Dobson S. Pasteurella multocida meningitis and cervical spine osteomyelitis in a neonate. Pediatr Infect Dis, Vol 23 (11). Nov 2004:1063-5.

  5. Green BT, Ramsey KM, Nolan PE. Pasteurella multocida meningitis: case report and review of last 11 years. Scand J Infect Dis. 2001;34:213–217.

  6. Pasteurella multocida. Report of the Committee on Infectious Diseases. American Academy of Pediatrics. Pickering LK (ed) Red Book 2000. 25 ed. Elk Grove Village: 426-7.

  7. Goldstein E, Citron D, Hudspeth M, Gerardo S, Merrian C. Trovaflozacin compared with levoflozacin, ofloxacin, ciprofloxacin, azithromyzin and clarithromycin against unusual aerobic and anaerobic human and animal bitewound pathogens. J Antimicrob Chemother 1998;41:391-6.




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Rev Enfer Infec Pediatr. 2005;18.19