Animal bites are frequently encountered in the emergency department(ED). Aortitis leading to mycotic abdominal aortic aneurysm is a rare and potentially deadly complication of Pasteurella multocida(P. multocida) follo...Animal bites are frequently encountered in the emergency department(ED). Aortitis leading to mycotic abdominal aortic aneurysm is a rare and potentially deadly complication of Pasteurella multocida(P. multocida) following an animal bite. We present the case of a 68-year-old male who presented to the ED after falling at home. He complained of weakness and abdominal pain. He was in septic shock and was treated empirically with broad-spectrum antibiotics and intravenous fluids. He reported previous antibiotic treatment of a cellulitis secondary to a cat bite injury to his right thumb four weeks prior. Abdominal ultrasound and subsequent computed tomography scan revealed a leaking mycotic abdominal aneurysm that was surgically repaired. Blood cultures and aortic wall tissue cultures grew P. multocida. Given how common animal bite presentations are in the ED, this case highlights the need to consider aortitis and mycotic abdominal aortic aneurysm in an unwell patient with an animal bite.展开更多
Pet cat bites are common—the most typical patient being a child, and the most typical locality hands and face. The normal flora of a pet cat’s mouth houses very potent pathogens. Therapeutic measures include wound c...Pet cat bites are common—the most typical patient being a child, and the most typical locality hands and face. The normal flora of a pet cat’s mouth houses very potent pathogens. Therapeutic measures include wound cleansing, prophylaxis against tetanus and possibly rabies. Antibiotic prophylaxis should be administered in the cases of all but the mildest superficial wounds especially if the wound is in the hand or face. We present a review on the medical care of cat bite wounds and a typical case of a patient who developed rapid symptoms and signs of infection after a pet cat bite and nearly required hospitalization. The clinical picture was consistent with a Pasteurella infection.展开更多
文摘Animal bites are frequently encountered in the emergency department(ED). Aortitis leading to mycotic abdominal aortic aneurysm is a rare and potentially deadly complication of Pasteurella multocida(P. multocida) following an animal bite. We present the case of a 68-year-old male who presented to the ED after falling at home. He complained of weakness and abdominal pain. He was in septic shock and was treated empirically with broad-spectrum antibiotics and intravenous fluids. He reported previous antibiotic treatment of a cellulitis secondary to a cat bite injury to his right thumb four weeks prior. Abdominal ultrasound and subsequent computed tomography scan revealed a leaking mycotic abdominal aneurysm that was surgically repaired. Blood cultures and aortic wall tissue cultures grew P. multocida. Given how common animal bite presentations are in the ED, this case highlights the need to consider aortitis and mycotic abdominal aortic aneurysm in an unwell patient with an animal bite.
文摘Pet cat bites are common—the most typical patient being a child, and the most typical locality hands and face. The normal flora of a pet cat’s mouth houses very potent pathogens. Therapeutic measures include wound cleansing, prophylaxis against tetanus and possibly rabies. Antibiotic prophylaxis should be administered in the cases of all but the mildest superficial wounds especially if the wound is in the hand or face. We present a review on the medical care of cat bite wounds and a typical case of a patient who developed rapid symptoms and signs of infection after a pet cat bite and nearly required hospitalization. The clinical picture was consistent with a Pasteurella infection.
