Disseminated Pasteurella multocida in a patient with liver cirrhosis and spontaneous bacterial peritonitis – The role of cirrhosis-associated immune dysfunction
Disseminated Pasteurella multocida infection is rare and usually occurs in patients who are immunocompromised. Patients with liver cirrhosis seem to be particularly vulnerable; potentially related to cirrhosis associated immune dysfunction syndrome, frequently present in this population. While many...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | IDCases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250922001706 |
| _version_ | 1798004583875739648 |
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| author | Libardo Rueda Prada Milena Cardozo Ann Hudson Matthias McDermott Diana C. Urbina Verjel Igor Dumic |
| author_facet | Libardo Rueda Prada Milena Cardozo Ann Hudson Matthias McDermott Diana C. Urbina Verjel Igor Dumic |
| author_sort | Libardo Rueda Prada |
| collection | DOAJ |
| description | Disseminated Pasteurella multocida infection is rare and usually occurs in patients who are immunocompromised. Patients with liver cirrhosis seem to be particularly vulnerable; potentially related to cirrhosis associated immune dysfunction syndrome, frequently present in this population. While many patients report pet cat or dog bites or scratches, some patients develop infection even without obvious exposure, just from being in contact with animals. We present a patient with cellulitis and spontaneous bacterial peritonitis by Pasteurella multocida in whom infection disseminated and the patient developed bacteremia that seeded in the right acromioclavicular joint. We hypothesize that the port of entry for infection in our patient was contact with a pet cat through a chronic open leg wound. The patient was treated with intravenous ceftriaxone 2 g daily for 6 weeks and attained complete recovery. |
| first_indexed | 2024-04-11T12:27:05Z |
| format | Article |
| id | doaj.art-8616e15306e54ec0a3dcee9f22c4ba16 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-04-11T12:27:05Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-8616e15306e54ec0a3dcee9f22c4ba162022-12-22T04:23:55ZengElsevierIDCases2214-25092022-01-0129e01542Disseminated Pasteurella multocida in a patient with liver cirrhosis and spontaneous bacterial peritonitis – The role of cirrhosis-associated immune dysfunctionLibardo Rueda Prada0Milena Cardozo1Ann Hudson2Matthias McDermott3Diana C. Urbina Verjel4Igor Dumic5Division of Hospital Internal Medicine, Mayo Clinic Health System, Eau Claire, WI, USA; Mayo Clinic College of Medicine and Science, Rochester, MN, USA; Corresponding author at: Mayo Clinic Health System, 1221 Whipple St, Eau Claire, WI 54703, USA.Division of Hospital Internal Medicine, Mayo Clinic Health System, Eau Claire, WI, USA; Mayo Clinic College of Medicine and Science, Rochester, MN, USADivision of Hospital Internal Medicine, Mayo Clinic Health System, Eau Claire, WI, USA; Mayo Clinic College of Medicine and Science, Rochester, MN, USAUniversity of Wisconsin, Eau Claire, WI, USALaboratory Medical Scientist, Universidad Industrial de Santander, Bucaramanga, ColombiaDivision of Hospital Internal Medicine, Mayo Clinic Health System, Eau Claire, WI, USA; Mayo Clinic College of Medicine and Science, Rochester, MN, USADisseminated Pasteurella multocida infection is rare and usually occurs in patients who are immunocompromised. Patients with liver cirrhosis seem to be particularly vulnerable; potentially related to cirrhosis associated immune dysfunction syndrome, frequently present in this population. While many patients report pet cat or dog bites or scratches, some patients develop infection even without obvious exposure, just from being in contact with animals. We present a patient with cellulitis and spontaneous bacterial peritonitis by Pasteurella multocida in whom infection disseminated and the patient developed bacteremia that seeded in the right acromioclavicular joint. We hypothesize that the port of entry for infection in our patient was contact with a pet cat through a chronic open leg wound. The patient was treated with intravenous ceftriaxone 2 g daily for 6 weeks and attained complete recovery.http://www.sciencedirect.com/science/article/pii/S2214250922001706Pasteurella multocidaLiver cirrhosisIntra-abdominal infectionsPeritonitisArthritis infectious |
| spellingShingle | Libardo Rueda Prada Milena Cardozo Ann Hudson Matthias McDermott Diana C. Urbina Verjel Igor Dumic Disseminated Pasteurella multocida in a patient with liver cirrhosis and spontaneous bacterial peritonitis – The role of cirrhosis-associated immune dysfunction IDCases Pasteurella multocida Liver cirrhosis Intra-abdominal infections Peritonitis Arthritis infectious |
| title | Disseminated Pasteurella multocida in a patient with liver cirrhosis and spontaneous bacterial peritonitis – The role of cirrhosis-associated immune dysfunction |
| title_full | Disseminated Pasteurella multocida in a patient with liver cirrhosis and spontaneous bacterial peritonitis – The role of cirrhosis-associated immune dysfunction |
| title_fullStr | Disseminated Pasteurella multocida in a patient with liver cirrhosis and spontaneous bacterial peritonitis – The role of cirrhosis-associated immune dysfunction |
| title_full_unstemmed | Disseminated Pasteurella multocida in a patient with liver cirrhosis and spontaneous bacterial peritonitis – The role of cirrhosis-associated immune dysfunction |
| title_short | Disseminated Pasteurella multocida in a patient with liver cirrhosis and spontaneous bacterial peritonitis – The role of cirrhosis-associated immune dysfunction |
| title_sort | disseminated pasteurella multocida in a patient with liver cirrhosis and spontaneous bacterial peritonitis the role of cirrhosis associated immune dysfunction |
| topic | Pasteurella multocida Liver cirrhosis Intra-abdominal infections Peritonitis Arthritis infectious |
| url | http://www.sciencedirect.com/science/article/pii/S2214250922001706 |
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