✦ LIBER ✦
Erythromycin failure with subsequent Pasteurella Multocida meningitis and septic arthritis in a cat-bite victim
✍ Scribed by James M Levin; David A Talan
- Publisher
- Elsevier Science
- Year
- 1990
- Tongue
- English
- Weight
- 414 KB
- Volume
- 19
- Category
- Article
- ISSN
- 1097-6760
No coin nor oath required. For personal study only.
✦ Synopsis
We report the case of a 75-year-old woman who developed Pasteurella multocida meningitis and septic arthritis while being treated for a cat-bite wound infection with erythromycin. Review of the literature revealed that erythromycin has poor in vitro activity against this bacterium and has been associated with serious clinical failures. We recommend that erythromycin not be prescribed for empiric therapy of established animalbite infections. Suggestions for optimal empiric therapy of animal-bite infections and the differential diagnosis of severe cat-bite-associated sepsis are discussed.