ABSTRACT
Pasteurella multocida belongs to the normal flora of the respiratory and digestive tract of many animals. Animal exposure is a considerable risk factor for Pasteurella infection. P. multocida is the most common cause of local infection after an animal bite but is an unusual cause of meningitis. We present a case of bacterial meningitis by P. multocida in a 37-year-old man who worked in a pig farm and was bitten by a pig. The patient had a defect located in the lamina cribosa and this lesion could be the gateway of the infection, although in this case the infection could also be acquired through the pig bite. The bacteria was identified as P. multocida with the biochemical test API 20E (bioMérieux). In agreement with findings in the literature, the strain was susceptible in vitro to penicillin, ampicillin, cefotaxime, ceftriaxone ciprofloxacin, levofloxacin, imipenem and tetracycline.
Subject(s)
Meningitis, Bacterial/diagnosis , Occupational Exposure , Pasteurella Infections/diagnosis , Pasteurella multocida/isolation & purification , Animal Husbandry , Animals , Anti-Bacterial Agents/pharmacology , Humans , Male , Meningitis, Bacterial/microbiology , Microbial Sensitivity Tests , Pasteurella Infections/microbiology , SwineABSTRACT
Pasteurella multocida belongs to the normal flora of the respiratory and digestive tract of many animals. Animal exposure is a considerable risk factor for Pasteurella infection. P. multocida is the most common cause of local infection after an animal bite but is an unusual cause of meningitis. We present a case of bacterial meningitis by P. multocida in a 37-year-old man who worked in a pig farm and was bitten by a pig. The patient had a defect located in the lamina cribosa and this lesion could be the gateway of the infection, although in this case the infection could also be acquired through the pig bite. The bacteria was identified as P. multocida with the biochemical test API 20E (bioMérieux). In agreement with findings in the literature, the strain was susceptible in vitro to penicillin, ampicillin, cefotaxime, ceftriaxone ciprofloxacin, levofloxacin, imipenem and tetracycline.
Subject(s)
Meningitis, Bacterial , Pasteurella multocida , SwineABSTRACT
Leptospirosis is an acute generalized infectious disease caused by a spirochete of the genus Leptospira. Humans become infected by direct contact with the animal reservoir or indirectly through standing water or contaminated wet areas; once the leptospira has entered the body through the mucosa or eroded skin, it is spread by blood circulation. It can cause hepatic, renal and muscular disorders, as well as meningeal inflammation. We report the case of a patient admitted to the ICU for an infectious process produced by leptospira. Complications are described and identified as nursing problems and/or diagnoses. Following the NANDA nomenclature, the diagnoses were: Tissue-perfusion disturbance. Deterioration of gas exchange. Deterioration of verbal communication. Nutritional disorder. These categories enabled specific nursing interventions to be planned for the patient's care. The patient died of multiple organ failure in spite of conventional care and treatment.
Subject(s)
Critical Care/methods , Weil Disease/nursing , Acute Disease , Adult , Animals , Fatal Outcome , Hemodynamics , Humans , Male , Multiple Organ Failure/microbiology , Nursing Diagnosis , Patient Care Planning , Water Microbiology , Weil Disease/blood , Weil Disease/complications , Weil Disease/diagnosis , Weil Disease/transmission , Zoonoses/transmissionABSTRACT
El hombre se infecta por contacto directo con el reservorio animal o indirectamente a través del agua estancada y terrenos húmedos contaminados; una vez que la leptospira ha penetrado en el organismo, bien a través de las mucosas o de la piel erosionada, entra en el torrente sanguíneo y se extiende, pudiendo ocasionar afectación hepática, renal, muscular e inflamación meníngea. A través de este artículo se presenta el caso de un paciente que ingresó en la UCI con un cuadro infeccioso producido por leptospira. La descripción se hace a través de las diferentes complicaciones que puede presentar, identificándolas como problemas y/o diagnósticos de enfermería. Los diagnósticos elaborados, según nomenclatura de la NANDA son los siguientes: * Alteración de la perfusión tisular.* Deterioro del intercambio gaseoso.* Deterioro de la comunicación verbal.* Alteración de la nutrición.Esto nos permite planificar las actividades de enfermería específicas, proporcionando al paciente una mejor calidad en los cuidados. El paciente, a pesar de recibir todos los cuidados y tratamiento establecidos, desarrolló un fallo multiorgánico que desencadenó su fallecimiento. (AU)
