Infective Exacerbation of Pasteurella multocida

An 89-year-old lady presented with a one-day history of shortness of breath as well as a cough productive of brown sputum. Her medical history was significant for chronic obstructive pulmonary disease (COPD). She was in severe type one respiratory failure and blood tests revealed markedly raised inf...

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Main Authors: Mayumi Hamada, Noha Elshimy, Hatem Abusriwil
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2016/2648349
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author Mayumi Hamada
Noha Elshimy
Hatem Abusriwil
author_facet Mayumi Hamada
Noha Elshimy
Hatem Abusriwil
author_sort Mayumi Hamada
collection DOAJ
description An 89-year-old lady presented with a one-day history of shortness of breath as well as a cough productive of brown sputum. Her medical history was significant for chronic obstructive pulmonary disease (COPD). She was in severe type one respiratory failure and blood tests revealed markedly raised inflammatory markers; however her chest X-ray was clear. On examination there was bronchial breathing with widespread crepitations and wheeze. She was treated as per an infective exacerbation of COPD. Subsequent blood cultures grew Pasteurella multocida, a common commensal in the oropharynx of domesticated animals. The patient was then asked about any contact with animals, after which she revealed she had a dog and was bitten on her left hand the day before admission. We should not forget to enquire about recent history of injuries or animal bites when patients present acutely unwell. She made a complete recovery after treatment with penicillin.
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spelling doaj-art-7df4834c0fe9442a84ac7000c4124bab2025-02-03T05:45:05ZengWileyCase Reports in Infectious Diseases2090-66252090-66332016-01-01201610.1155/2016/26483492648349Infective Exacerbation of Pasteurella multocidaMayumi Hamada0Noha Elshimy1Hatem Abusriwil2Sandwell and West Birmingham Hospitals NHS Trust, West Bromwich B71 4HJ, UKSandwell and West Birmingham Hospitals NHS Trust, West Bromwich B71 4HJ, UKSandwell and West Birmingham Hospitals NHS Trust, West Bromwich B71 4HJ, UKAn 89-year-old lady presented with a one-day history of shortness of breath as well as a cough productive of brown sputum. Her medical history was significant for chronic obstructive pulmonary disease (COPD). She was in severe type one respiratory failure and blood tests revealed markedly raised inflammatory markers; however her chest X-ray was clear. On examination there was bronchial breathing with widespread crepitations and wheeze. She was treated as per an infective exacerbation of COPD. Subsequent blood cultures grew Pasteurella multocida, a common commensal in the oropharynx of domesticated animals. The patient was then asked about any contact with animals, after which she revealed she had a dog and was bitten on her left hand the day before admission. We should not forget to enquire about recent history of injuries or animal bites when patients present acutely unwell. She made a complete recovery after treatment with penicillin.http://dx.doi.org/10.1155/2016/2648349
spellingShingle Mayumi Hamada
Noha Elshimy
Hatem Abusriwil
Infective Exacerbation of Pasteurella multocida
Case Reports in Infectious Diseases
title Infective Exacerbation of Pasteurella multocida
title_full Infective Exacerbation of Pasteurella multocida
title_fullStr Infective Exacerbation of Pasteurella multocida
title_full_unstemmed Infective Exacerbation of Pasteurella multocida
title_short Infective Exacerbation of Pasteurella multocida
title_sort infective exacerbation of pasteurella multocida
url http://dx.doi.org/10.1155/2016/2648349
work_keys_str_mv AT mayumihamada infectiveexacerbationofpasteurellamultocida
AT nohaelshimy infectiveexacerbationofpasteurellamultocida
AT hatemabusriwil infectiveexacerbationofpasteurellamultocida