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Title: Cirrhosis, cellulitis and cats: a 'purrfect' combination for life-threatening spontaneous bacterial peritonitis from Pasteurella multocida.
Austin Authors: Hey, Penelope ;Gow, Paul J ;Torresi, Joseph ;Testro, Adam G 
Affiliation: Gastroenterology and Hepatology
Issue Date: 11-Nov-2012
Publication information: BMJ Case Reports 2012; 2012: bcr-2012-007397
Abstract: Pasteurella multocida is a Gram-negative coccobacillus that colonises the upper airways of many animals, in particular, dogs and cats. It acts as an opportunistic infection in humans following an animal bite or scratch and is associated with soft tissue infections, septicaemia and pneumonia, particularly in patients with a compromised immune response, such as patients with liver failure. Spontaneous bacterial peritonitis (SBP) is a serious complication of cirrhosis with a death rate of 10-15%. We report a case of a 47-year-old man with cirrhosis who presented with life-threatening P multocida SBP and bacteraemia secondary to a lick from a cat to a cellulitic leg wound. This case highlights the potential severity of an infection from domestic animals and an otherwise innocuous organism in an immunocompromised host.
DOI: 10.1136/bcr-2012-007397
Journal: BMJ Case Reports
Type: Journal Article
Subjects: Animals
Anti-Bacterial Agents.therapeutic use
Cellulitis.complications.diagnosis.drug therapy
Drug Therapy, Combination
Liver Cirrhosis.complications
Liver Failure.complications
Middle Aged
Opportunistic Infections.diagnosis.drug therapy
Pasteurella Infections.diagnosis.drug therapy
Pasteurella multocida
Peritonitis.diagnosis.drug therapy
Shock, Septic.diagnosis.drug therapy
Wound Infection.complications.diagnosis.drug therapy
Appears in Collections:Journal articles

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