A case report of Pasteurella multocida meningitis in a patient with non-traumatic skull base defect
<h3>Background</h3><p dir="ltr"><i>Pasteurella multocida</i> is a gram-negative coccobacillus that is primarily found in oropharynx of dogs, cats and other animals. It causes infections in human beings through contact with animal saliva in the form of licks, b...
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| مؤلفون آخرون: | , , |
| منشور في: |
2020
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| _version_ | 1864513559079157760 |
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| author | Mohamed Kamal Sabra (17075230) |
| author2 | Adeel Ahmad Khan (14152953) Musaed Al Samawi (17075233) Yasser El Deeb (17075236) |
| author2_role | author author author |
| author_facet | Mohamed Kamal Sabra (17075230) Adeel Ahmad Khan (14152953) Musaed Al Samawi (17075233) Yasser El Deeb (17075236) |
| author_role | author |
| dc.creator.none.fl_str_mv | Mohamed Kamal Sabra (17075230) Adeel Ahmad Khan (14152953) Musaed Al Samawi (17075233) Yasser El Deeb (17075236) |
| dc.date.none.fl_str_mv | 2020-11-01T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.idcr.2020.e00991 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/A_case_report_of_Pasteurella_multocida_meningitis_in_a_patient_with_non-traumatic_skull_base_defect/24225634 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Meningitis Pasteurella multocida CSF rhinorrhea Skull defect |
| dc.title.none.fl_str_mv | A case report of Pasteurella multocida meningitis in a patient with non-traumatic skull base defect |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr"><i>Pasteurella multocida</i> is a gram-negative coccobacillus that is primarily found in oropharynx of dogs, cats and other animals. It causes infections in human beings through contact with animal saliva in the form of licks, bites and scratches of animals colonized by the bacteria. Meningitis due to <i>Pasteurella multocida</i> is rare in immunocompetent individuals. We report a case of meningitis due to <i>Pasteurella multocida</i> in an immunocompetent patient.</p><h3>Case report</h3><p dir="ltr">A 30-year-old gentleman presented with 2-day history of fever and neck stiffness. 6 weeks earlier, he was treated as a case of bacterial meningitis. During that hospital stay, he was diagnosed to have bony defect in the sellar floor based on MRI head performed to evaluate for a prolonged history of CSF rhinorrhea. He was discharged and scheduled for an elective endoscopic endonasal/open repair of the skull base defect after resolution of meningitis. CSF findings during current admission also showed features of bacterial meningitis. CSF culture showed <i>Pasteurella multocida</i> sensitive to penicillin, ampicillin and ceftriaxone. Retrospective history revealed patient’s contact with stray cats as he used to feed them but there was no history of licks, bites. He was treated with intravenous ceftriaxone 2 g twice a day for 14 days with complete resolution of his symptoms.</p><h3>Conclusion</h3><p dir="ltr"><i>Pasteurella multocida</i> is an important cause of bacterial meningitis in patients with skull defect. Patients with traumatic or non-traumatic bony defect of skull should avoid contact with dogs and cats to prevent the spread of infection the central nervous system.</p><h2>Other Information</h2><p dir="ltr">Published in: IDCases<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.idcr.2020.e00991" target="_blank">https://dx.doi.org/10.1016/j.idcr.2020.e00991</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_02a978c427bdb831615994154bd53f6b |
| identifier_str_mv | 10.1016/j.idcr.2020.e00991 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24225634 |
| publishDate | 2020 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | A case report of Pasteurella multocida meningitis in a patient with non-traumatic skull base defectMohamed Kamal Sabra (17075230)Adeel Ahmad Khan (14152953)Musaed Al Samawi (17075233)Yasser El Deeb (17075236)Biomedical and clinical sciencesClinical sciencesMeningitisPasteurella multocidaCSF rhinorrheaSkull defect<h3>Background</h3><p dir="ltr"><i>Pasteurella multocida</i> is a gram-negative coccobacillus that is primarily found in oropharynx of dogs, cats and other animals. It causes infections in human beings through contact with animal saliva in the form of licks, bites and scratches of animals colonized by the bacteria. Meningitis due to <i>Pasteurella multocida</i> is rare in immunocompetent individuals. We report a case of meningitis due to <i>Pasteurella multocida</i> in an immunocompetent patient.</p><h3>Case report</h3><p dir="ltr">A 30-year-old gentleman presented with 2-day history of fever and neck stiffness. 6 weeks earlier, he was treated as a case of bacterial meningitis. During that hospital stay, he was diagnosed to have bony defect in the sellar floor based on MRI head performed to evaluate for a prolonged history of CSF rhinorrhea. He was discharged and scheduled for an elective endoscopic endonasal/open repair of the skull base defect after resolution of meningitis. CSF findings during current admission also showed features of bacterial meningitis. CSF culture showed <i>Pasteurella multocida</i> sensitive to penicillin, ampicillin and ceftriaxone. Retrospective history revealed patient’s contact with stray cats as he used to feed them but there was no history of licks, bites. He was treated with intravenous ceftriaxone 2 g twice a day for 14 days with complete resolution of his symptoms.</p><h3>Conclusion</h3><p dir="ltr"><i>Pasteurella multocida</i> is an important cause of bacterial meningitis in patients with skull defect. Patients with traumatic or non-traumatic bony defect of skull should avoid contact with dogs and cats to prevent the spread of infection the central nervous system.</p><h2>Other Information</h2><p dir="ltr">Published in: IDCases<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.idcr.2020.e00991" target="_blank">https://dx.doi.org/10.1016/j.idcr.2020.e00991</a></p>2020-11-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.idcr.2020.e00991https://figshare.com/articles/journal_contribution/A_case_report_of_Pasteurella_multocida_meningitis_in_a_patient_with_non-traumatic_skull_base_defect/24225634CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/242256342020-11-01T00:00:00Z |
| spellingShingle | A case report of Pasteurella multocida meningitis in a patient with non-traumatic skull base defect Mohamed Kamal Sabra (17075230) Biomedical and clinical sciences Clinical sciences Meningitis Pasteurella multocida CSF rhinorrhea Skull defect |
| status_str | publishedVersion |
| title | A case report of Pasteurella multocida meningitis in a patient with non-traumatic skull base defect |
| title_full | A case report of Pasteurella multocida meningitis in a patient with non-traumatic skull base defect |
| title_fullStr | A case report of Pasteurella multocida meningitis in a patient with non-traumatic skull base defect |
| title_full_unstemmed | A case report of Pasteurella multocida meningitis in a patient with non-traumatic skull base defect |
| title_short | A case report of Pasteurella multocida meningitis in a patient with non-traumatic skull base defect |
| title_sort | A case report of Pasteurella multocida meningitis in a patient with non-traumatic skull base defect |
| topic | Biomedical and clinical sciences Clinical sciences Meningitis Pasteurella multocida CSF rhinorrhea Skull defect |