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Pasturella

Pasturella is a small gram-negative oraganism that is present in the nasopharynx and gastrointestinal tract of mammals and birds -with cats having the highest carrier rate ( 70 - 90 %). Pasturella DOES affect humans as well as the avian species.

Clinical manifestations in humans usually develop with 24 hours of the bite, with the most common being cellulitis surrounding the wound. Less common are septic arthritis, osteomyelitis, septicemia and peritonitis.

The treatment of choice are the penicillins (eg piperacillin is used in avian patients). Tetracyclines may be used in penicillin-allergic patients. Erythromycin, cephalosporins, and clindamycin are ineffective.

Gillian Willis Vancouver, B.C. willis@dpic.bc.ca



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