Pasteurella multocida line infection: a case report and review of literature
Abstract Background There are as many as 300,000 visits to the emergency department in the USA with animal bites every year. The most common infection after cat or dog bite is with Pasteurella Multocida. Many people infected will also have long-term central venous access for dialysis or for other re...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-08-01
|
| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12879-018-3329-9 |
| _version_ | 1818256370127863808 |
|---|---|
| author | T. C. S. Martin J. Abdelmalek B. Yee S. Lavergne M. Ritter |
| author_facet | T. C. S. Martin J. Abdelmalek B. Yee S. Lavergne M. Ritter |
| author_sort | T. C. S. Martin |
| collection | DOAJ |
| description | Abstract Background There are as many as 300,000 visits to the emergency department in the USA with animal bites every year. The most common infection after cat or dog bite is with Pasteurella Multocida. Many people infected will also have long-term central venous access for dialysis or for other reasons. No prior reports or guidelines exist regarding the management of P. multocida bacteremia due to line infection or bacteremia in the presence of long-term central venous access. We describe the successful treatment of an individual with P. multocida bacteremia secondary to tunnelled line infection managed with line retention. Case presentation A 21 year-old man with a history of granulomatosis with polyangiitis on home hemodialysis presented with fever and hypotension 3 days after dialysis catheter replacement. The patient was found to be bacteremic with Pasteurella Multocida and he subsequently reported a history of cat bite to his dialysis catheter. He declined removal of the tunnelled catheter and was thereafter treated for a total of 2 weeks with intravenous ceftazidime post-dialysis and gentamicin line-locks without recurrence of infection. Conclusions Pasteurella Multocida bacteremia in the presence of a long-term central venous catheter is potentially curable using 2 weeks of intravenous antibiotics and line retention. Further data regarding outcomes of treatment in this setting are required though in select cases clinicians faced with a similar scenario could opt for trial of intravenous therapy and retention of central venous catheter. |
| first_indexed | 2024-12-12T17:26:40Z |
| format | Article |
| id | doaj.art-329ef3cee28a46e682cdf98eb9bc62ae |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-12-12T17:26:40Z |
| publishDate | 2018-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-329ef3cee28a46e682cdf98eb9bc62ae2022-12-22T00:17:30ZengBMCBMC Infectious Diseases1471-23342018-08-011811410.1186/s12879-018-3329-9Pasteurella multocida line infection: a case report and review of literatureT. C. S. Martin0J. Abdelmalek1B. Yee2S. Lavergne3M. Ritter4Division of infectious diseases and global public health, University of California San DiegoDivision of nephrology, University of California San DiegoDivision of medicine, University of California San DiegoDivision of infectious diseases and global public health, University of California San DiegoDivision of infectious diseases and global public health, University of California San DiegoAbstract Background There are as many as 300,000 visits to the emergency department in the USA with animal bites every year. The most common infection after cat or dog bite is with Pasteurella Multocida. Many people infected will also have long-term central venous access for dialysis or for other reasons. No prior reports or guidelines exist regarding the management of P. multocida bacteremia due to line infection or bacteremia in the presence of long-term central venous access. We describe the successful treatment of an individual with P. multocida bacteremia secondary to tunnelled line infection managed with line retention. Case presentation A 21 year-old man with a history of granulomatosis with polyangiitis on home hemodialysis presented with fever and hypotension 3 days after dialysis catheter replacement. The patient was found to be bacteremic with Pasteurella Multocida and he subsequently reported a history of cat bite to his dialysis catheter. He declined removal of the tunnelled catheter and was thereafter treated for a total of 2 weeks with intravenous ceftazidime post-dialysis and gentamicin line-locks without recurrence of infection. Conclusions Pasteurella Multocida bacteremia in the presence of a long-term central venous catheter is potentially curable using 2 weeks of intravenous antibiotics and line retention. Further data regarding outcomes of treatment in this setting are required though in select cases clinicians faced with a similar scenario could opt for trial of intravenous therapy and retention of central venous catheter.http://link.springer.com/article/10.1186/s12879-018-3329-9Pasteurella multocidaLine infectionBacteremia |
| spellingShingle | T. C. S. Martin J. Abdelmalek B. Yee S. Lavergne M. Ritter Pasteurella multocida line infection: a case report and review of literature BMC Infectious Diseases Pasteurella multocida Line infection Bacteremia |
| title | Pasteurella multocida line infection: a case report and review of literature |
| title_full | Pasteurella multocida line infection: a case report and review of literature |
| title_fullStr | Pasteurella multocida line infection: a case report and review of literature |
| title_full_unstemmed | Pasteurella multocida line infection: a case report and review of literature |
| title_short | Pasteurella multocida line infection: a case report and review of literature |
| title_sort | pasteurella multocida line infection a case report and review of literature |
| topic | Pasteurella multocida Line infection Bacteremia |
| url | http://link.springer.com/article/10.1186/s12879-018-3329-9 |
| work_keys_str_mv | AT tcsmartin pasteurellamultocidalineinfectionacasereportandreviewofliterature AT jabdelmalek pasteurellamultocidalineinfectionacasereportandreviewofliterature AT byee pasteurellamultocidalineinfectionacasereportandreviewofliterature AT slavergne pasteurellamultocidalineinfectionacasereportandreviewofliterature AT mritter pasteurellamultocidalineinfectionacasereportandreviewofliterature |