The Case Report of “Deadly case of Pasteurella multocida aortitis and mycotic aneurysm following a cat bite” which was published on issue 4, volume 6 in World Journal of Clinical Cases was cited in the magazine USA Today on 2nd, July, the news as following:
4-inch-wide aneurysm was caused by bacteria common to pets' mouths
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(Photo: AP Photo, Andreea Alexandru)
(NEWSER) – A Toronto man is dead after a cat bit him on the right thumb—but the cause is so rare that doctors wrote up a case study in the World Journal of Clinical Cases warning other physicians to be on the lookout for the unusual cascade of events. Animal bites are common, and the reason for some 330,000 annual US ER visits, with those attending doctors "acutely aware of the skin and soft tissue infections that can arise from mammalian bites," the researchers write. A course of antibiotics tends to do the job, preventing a bacterial infection or at least stopping its spread. But in this case, the bacteria Pasteurella multocida, which lives in many pets' mouths, caused a 4-inch-wide aneurysm in the abdominal section of the man's aorta (the large vessel descending from the heart to the abdomen) that ultimately ruptured.
A portion of the aorta was fixed using a tube graft, but 13 days later he developed septic shock and died. When the man's wife mentioned—upon the 68-year-old's admission to the hospital—the four-week-old cat bite whose local infection had since healed, doctors dismissed it as the cause of his symptoms, which included elevated heart rate, low blood pressure, abdominal pain, and sudden weight loss. "Sometimes as physicians we roll our eyes at information that seems to be extraneous," study co-author Dr. Dennis Cho tells the Toronto Sun. "Only looking back did we realize this was probably the key to unlocking the true diagnosis." The doctors note the man's heavy drinking likely caused him to be immunosuppressed and upped his risk of long-term complications from the bacterial infection. And CBS News reports on the highly unusual case of a woman who suffered sepsis after her dog simply licked her. (This cat lick was blamed for a woman's blindness.) (Elizabeth Armstrong Moore, Newser staff. Man bitten by cat dies 6 weeks later. Available from: URL:http://www.usatoday.com/story/news/nation-now/2016/07/02/man-bitten-cat-dies-6-weeks-later/86632516/?from=timeline&isappinstalled=1).
This case report is invited paper submitted by Dennis Dane Cho, Yaniv Berliner, David Carr, is given a high appraisal by the peer reviewers, the comments from ID: 02602138 is “The case report by Dr. Cho and colleagues “A deadly case of Pasteurella multocida aortitis and mycotic aneurysm following a cat bite” has been written to introduce a rare yet important complication of infected cat bite. The manuscript is organized, well written, and perfect. I highly recommend it for publication in World Journal of Clinical Cases.”
The highlight of the case report is “Aortitis is a rare and delayed complication of pasteurellosis and should be considered in a septic patient with a history of a bite injury in an immunocompromised host. A high index of suspicion is necessary to facilitate early imaging, antibiotics, and surgical management. Given how frequently animal bites are encountered in the ED, emergency physicians should be aware of aortitis and mycotic aneurysm as a delayed sequelae of cat bites.”
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