2005, Number 74
Rev Enfer Infec Pediatr 2005; 18.19 (74)
Pasteurella multocida meningitis in a 45 day old infant
Díaz SMPJ, Rocha ERCV, Goldfarb GON
Language: Spanish
References: 7
Page: 64-68
PDF size: 0. Kb.
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.
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