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Pasteurella multocida Septicemia in Chemotherapy-Induced Neutropenic Dairy Farmer With Lung Cancer

Waraich, Kanwaljit K. MD*†; Duggal, Abhijit MD, MPH*‡; Cutrona, Anthony MD, FIDSA, FACP†§

Infectious Diseases in Clinical Practice: May 2010 - Volume 18 - Issue 3 - pp 216-218
doi: 10.1097/IPC.0b013e3181c75401
Case Reports

Pasteurella multocida is a facultatively anaerobic gram-negative organism, which causes widespread zoonotic infections in humans. We report a case of P. multocida septicemia in a 58-year-old dairy farmer with chemotherapy-induced neutropenia. This case report illustrates the risk of serious infections with P. multocida in patients with febrile neutropenia. We also review the medical literature of P. multocida bacteremia in neutropenic patients after chemotherapy for hematologic and solid organ cancers. We also discuss empirical antibiotic choices in patients with P. multocida infections.

From the *Department of Internal Medicine, Western Reserve Care System, Youngstown; †Departments of Internal Medicine and ‡Medicine, Northeastern Ohio Universities Colleges of Medicine and Pharmacy, Rootstown; §Division of Infectious Diseases, Western Reserve Care System, Youngstown, OH.

Reprints: Kanwaljit K. Waraich, MD, Department of Internal Medicine, Northeastern Ohio Universities Colleges of Medicine and Pharmacy, 500 Gypsy Ln, Youngstown, OH. E-mail: kanwalwaraich@yahoo.co.in.

This work was performed at the offices of Northeastern Ohio Infectious Disease Associates, Youngstown, OH.

The authors have no personal or financial support or involvement with any organization with financial interest in the subject or any actual or potential conflict of interest.

© 2010 Lippincott Williams & Wilkins, Inc.