Spinal epidural abscess due to Pasteurella multocida infection
Pasteurella multocida (P. multocida) is a gram-negative coccobacillus that comprises the normal oral, upper respiratory, and gastrointestinal flora of many wild and domestic animals. Disease transmission primarily occurs via animal bites, scratches, and licks on broken skin. P. multocida most common...
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doaj-213a4875fd104a1eb0a141bb502ea5042021-07-02T11:38:03ZengElsevierIDCases2214-25092020-01-0121e00801Spinal epidural abscess due to Pasteurella multocida infectionFahad Aftab Khan Lodhi0Sophie L. Shogren1Najiya Haque2Muhammad Ishaq3Ateeq Rehman4Department of Internal Medicine, Marshfield Clinic Health System – Marshfield, Marshfield, WI, 54444, United States; Corresponding author at: Marshfield Clinic Health System – Marshfield, 1,000 North Oak Avenue, Marshfield, WI, 54449, United States.Department of Student Programs – WARM, Marshfield Clinic Health System – Marshfield, Marshfield, WI, 54444, United StatesF.M.H College of Medicine and Dentistry, Lahore, Punjab, 37350, PakistanDepartment of Internal Medicine, Marshfield Clinic Health System – Marshfield, Marshfield, WI, 54444, United StatesDepartment of Hospital Medicine, Marshfield Clinic Health System – Marshfield, Marshfield, WI, 54444, United StatesPasteurella multocida (P. multocida) is a gram-negative coccobacillus that comprises the normal oral, upper respiratory, and gastrointestinal flora of many wild and domestic animals. Disease transmission primarily occurs via animal bites, scratches, and licks on broken skin. P. multocida most commonly causes skin and soft tissue infection and local abscess formation; however, we report a unique case of spinal epidural abscess due to P. multocida infection in a patient with a history of recent epidural steroid injection and repeated cat bites. There is little documentation of P. multocida infection causing spinal epidural abscesses in any patient population, particularly in immunocompetent hosts. This case demonstrates that P. multocida may cause a spinal epidural abscess in a healthy individual without manifesting any other signs or symptoms of the disease process. Thus, it is important to elicit a detailed history regarding animal contact and associated injury. Unless overt sepsis or clinical stability necessitate blood cultures with corresponding administration of broad-spectrum antimicrobials, targeted IV antimicrobial therapy should be initiated after collection and culture of the epidural abscess aspirate.http://www.sciencedirect.com/science/article/pii/S2214250920301098 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fahad Aftab Khan Lodhi Sophie L. Shogren Najiya Haque Muhammad Ishaq Ateeq Rehman |
spellingShingle |
Fahad Aftab Khan Lodhi Sophie L. Shogren Najiya Haque Muhammad Ishaq Ateeq Rehman Spinal epidural abscess due to Pasteurella multocida infection IDCases |
author_facet |
Fahad Aftab Khan Lodhi Sophie L. Shogren Najiya Haque Muhammad Ishaq Ateeq Rehman |
author_sort |
Fahad Aftab Khan Lodhi |
title |
Spinal epidural abscess due to Pasteurella multocida infection |
title_short |
Spinal epidural abscess due to Pasteurella multocida infection |
title_full |
Spinal epidural abscess due to Pasteurella multocida infection |
title_fullStr |
Spinal epidural abscess due to Pasteurella multocida infection |
title_full_unstemmed |
Spinal epidural abscess due to Pasteurella multocida infection |
title_sort |
spinal epidural abscess due to pasteurella multocida infection |
publisher |
Elsevier |
series |
IDCases |
issn |
2214-2509 |
publishDate |
2020-01-01 |
description |
Pasteurella multocida (P. multocida) is a gram-negative coccobacillus that comprises the normal oral, upper respiratory, and gastrointestinal flora of many wild and domestic animals. Disease transmission primarily occurs via animal bites, scratches, and licks on broken skin. P. multocida most commonly causes skin and soft tissue infection and local abscess formation; however, we report a unique case of spinal epidural abscess due to P. multocida infection in a patient with a history of recent epidural steroid injection and repeated cat bites. There is little documentation of P. multocida infection causing spinal epidural abscesses in any patient population, particularly in immunocompetent hosts. This case demonstrates that P. multocida may cause a spinal epidural abscess in a healthy individual without manifesting any other signs or symptoms of the disease process. Thus, it is important to elicit a detailed history regarding animal contact and associated injury. Unless overt sepsis or clinical stability necessitate blood cultures with corresponding administration of broad-spectrum antimicrobials, targeted IV antimicrobial therapy should be initiated after collection and culture of the epidural abscess aspirate. |
url |
http://www.sciencedirect.com/science/article/pii/S2214250920301098 |
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