Article type: Case Report - Dispatch
Article
title: Pasteurella multocida meningitis following mastoidectomy: a case report and literature review
Journal: International Journal of Advanced
Medical and Health Research
Year: 2018
Authors:
Jamir Pitton Rissardo, Ana LetÃcia Fornari Caprara
E-mail:
jamirrissardo@gmail.com
ABSTRACT
Pasteurella multocida (PM) is part of the normal
nasopharyngeal flora of many animals. The most common PM infections occur in
soft tissue, secondary to animal contact. Meningitis is rarely associated. An
adult female developed chronic right‑sided
otorrhea and tympanic membrane perforation. An elective mastoidectomy was
performed. On postoperative day 2, the patient experienced a decreased level of
consciousness, headache, nausea, and seizures. Cerebrospinal fluid (CSF)
analysis revealed low glucose, high protein, and high cellularity. Blood tests
were within normal limits, except for high leukocyte count. Two days after the neurological
manifestations, a bacterium, identified as PM, grew in the aerobic cultures of
CSF and preoperative ear swab. The isolate was sensitive to penicillin. She was
started on intravenous penicillin G. The patient had a full recovery. On
further questioning, she admitted having a dog, which licks on her face
frequently.
Key-words: Mastoidectomy, meningitis, pasteurella multocida
Full text available at:
DOI
10.4103/IJAMR.IJAMR_35_18
Citation
Rissardo
JP, Caprara AL. Pasteurella multocida meningitis
following mastoidectomy: a case report and literature review. Int J Adv Med
Health Res 2018;5:78-80
Figure 1. Images of computed tomography scan showing the right mastoidectomy, the communication between the right ear and right middle cranial fossa (indicated by the arrow). Coronal (a) and axial (b) views of head computed tomography scan. Axial with brain window (c) and coronal with bone window (d) views of computed tomography scan of the temporal bone.
Table 1. Reported cases of Pasteurella multocida meningitis following mastoidectomy.