A 76-year-old dog owner with fever and dyspnea

作者：Juech M^*; Boettcher Lorenz J; Gross M

来源：Internist, 2012, 53(9): 1114-+.

DOI：10.1007/s00108-012-3108-4

• Pneumonia, bacterial
• Pasteurella multocida bacteremia
• Pulmonary disease, chronic obstructive
• Multiple organ failure
• Zoonoses

A 76-year-old female patient with chronic obstructive pulmonary disease presented with dyspnea, fever and productive coughing. The chest X-ray revealed upper lobe pneumonia. Intravenous antibiotic therapy with moxifloxacine was initiated but soon afterwards the patient developed septic shock with hypotension, acute respiratory and renal failure. Pressure-controlled ventilation, continuous veno-venous hemodialysis and administration of catecholamines were initiated but the patient died 22 h after hospitalization due to multiple organ dysfunction syndrome. Microbiology of blood cultures revealed Pasteurella multocida which was probably transmitted through close contact with the pet dog.

• 出版日期2012-9