Lower respiratory infection in humans caused by pasteurella multocida.

Autor: Piorunek M; Veterinary Practice Marcin Piorunek, Skórzewo, Poland. Electronic address: piorun.mp@gmail.com., Brajer-Luftmann B; Department of Pulmonology, Allergology and Pulmonary Oncology, Poznan University of Medical Sciences, Poland., Trafas T; Department of Pulmonology, Allergology and Pulmonary Oncology, Poznan University of Medical Sciences, Poland., Schneider A; Microbiology Clinical Laboratory, University Hospital of Lord's Transfiguration, Partner of Poznan University of Medical Sciences, Poland., Walkowiak J; Department of Paediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poland.
Jazyk: angličtina
Zdroj: Respiratory physiology & neurobiology [Respir Physiol Neurobiol] 2023 Sep; Vol. 315, pp. 104091. Date of Electronic Publication: 2023 Jun 17.
DOI: 10.1016/j.resp.2023.104091
Abstrakt: Background: Pasteurella (P.) multocida commonly occurs in the upper respiratory tract of healthy domestic pets, especially cats and dogs. People become infected by biting, scratching or direct contact with the animal's saliva. Inflammation develops in the wound and limits itself to the skin and subcutaneous tissue. P. multocida may cause respiratory tract infections and severe life-threatening complications. The study aimed to identify the lower respiratory infection in humans caused by P. multocida, to determine the potential source of infection and the associated symptoms, comorbidities and applied treatment.
Materials and Methods: Between January 2010 and September 2021, 14,258 patients underwent 16,255 routine flexible video bronchoscopy (FVB), and the same number of bronchoalveolar lavage fluid (BALF) samples for microbiological examination were taken.
Results: Microbiological examinations of the BALF only allowed the identification of six patients with P. multocida infection. All persons reported multiple scratches or bites and licking or kissing by their pets in the past. Productive cough with expectoration of mucopurulent discharge was the predominant symptom.
Conclusions: A lower respiratory infection caused by P. multocida is not common in humans. It should be considered particularly in elderly patients with underlying diseases and exposure to cats and dogs.
(Copyright © 2023 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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