Pasteurella Endocarditis: A Case Report and Statistical Analysis of the Literature

Pasteurella is a genus of commensal bacteria of the oral cavity of several domesticated animals and a common cause of cellulitis after animal bites. Pasteurella has also been reported as a rare cause of endocarditis, with only 35 prior cases of definite Pasteurella endocarditis in the literature. He...

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Main Authors: Randall S. Porter, Christine M. Hay
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2020/8890211
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author Randall S. Porter
Christine M. Hay
author_facet Randall S. Porter
Christine M. Hay
author_sort Randall S. Porter
collection DOAJ
description Pasteurella is a genus of commensal bacteria of the oral cavity of several domesticated animals and a common cause of cellulitis after animal bites. Pasteurella has also been reported as a rare cause of endocarditis, with only 35 prior cases of definite Pasteurella endocarditis in the literature. Here, we present a case of Pasteurella multocida endocarditis treated successfully with surgery and antibiosis, as well as a review of the literature with statistical analysis of correlations between risk factors and clinical outcomes, as well as between treatment choices and clinical outcomes. Despite the small sample size, our analysis indicates a statistically significant correlation between comorbid liver disease and mortality, as well as a significant negative correlation between surgical treatment and mortality. This analysis implies a need for surgical management of endocarditis due to Pasteurella species and for more aggressive management of Pasteurella endocarditis in the setting of comorbid liver disease.
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spelling doaj-art-5b8e585116f241eb9ff0d018efbdd4842025-02-03T05:53:54ZengWileyCase Reports in Infectious Diseases2090-66252090-66332020-01-01202010.1155/2020/88902118890211Pasteurella Endocarditis: A Case Report and Statistical Analysis of the LiteratureRandall S. Porter0Christine M. Hay1University of Rochester School of Medicine and Dentistry, 601 Elmwood Ave, Rochester, NY 14642, USADepartment of Medicine, Infectious Diseases Division, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USAPasteurella is a genus of commensal bacteria of the oral cavity of several domesticated animals and a common cause of cellulitis after animal bites. Pasteurella has also been reported as a rare cause of endocarditis, with only 35 prior cases of definite Pasteurella endocarditis in the literature. Here, we present a case of Pasteurella multocida endocarditis treated successfully with surgery and antibiosis, as well as a review of the literature with statistical analysis of correlations between risk factors and clinical outcomes, as well as between treatment choices and clinical outcomes. Despite the small sample size, our analysis indicates a statistically significant correlation between comorbid liver disease and mortality, as well as a significant negative correlation between surgical treatment and mortality. This analysis implies a need for surgical management of endocarditis due to Pasteurella species and for more aggressive management of Pasteurella endocarditis in the setting of comorbid liver disease.http://dx.doi.org/10.1155/2020/8890211
spellingShingle Randall S. Porter
Christine M. Hay
Pasteurella Endocarditis: A Case Report and Statistical Analysis of the Literature
Case Reports in Infectious Diseases
title Pasteurella Endocarditis: A Case Report and Statistical Analysis of the Literature
title_full Pasteurella Endocarditis: A Case Report and Statistical Analysis of the Literature
title_fullStr Pasteurella Endocarditis: A Case Report and Statistical Analysis of the Literature
title_full_unstemmed Pasteurella Endocarditis: A Case Report and Statistical Analysis of the Literature
title_short Pasteurella Endocarditis: A Case Report and Statistical Analysis of the Literature
title_sort pasteurella endocarditis a case report and statistical analysis of the literature
url http://dx.doi.org/10.1155/2020/8890211
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