A case of airway emergency following <i>Pasteurella multocida</i> acute epiglottitis caused by kissing a cat

DOI
  • NUMATA Jushi
    Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center
  • SANO Hidefumi
    Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center
  • MORIYA Mariko
    Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center
  • OTAKE Naruaki
    Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center
  • KANEMURA Takashi
    Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center
  • NAGURA Takeo
    Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center
  • TSURUKIRI Junya
    Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center

Bibliographic Information

Other Title
  • ネコとの接触で生じた<i>Pasteurella multocida</i>による急性喉頭蓋炎の気道緊急の1例

Abstract

<p>A man in his 50s was transferred from another hospital’s emergency department to ours due to a suspicion of acute epiglottitis. He had a medical history of gastrointestinal stromal tumor for which he was taking imatinib. On admission, the patient was conscious but showed difficulty breathing. Neck contrast-enhanced computed tomography revealed swelling of the epiglottis and retropharyngeal abscess, and laryngeal endoscopy revealed a swollen and red epiglottis. Hence, the patient was diagnosed with acute epiglottitis and received emergency airway management. A blood culture on admission confirmed the presence of Pasteurella multocida. Antibiotics and steroid administration gradually improved the condition of epiglottitis, and we extubated the patient after 7 days. Detailed history taking revealed that the patient lived close to a cat but had not been bitten or scratched. Physicians should be aware of the potential zoonotic risk of acute epiglottitis. </p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390862268805169408
  • DOI
    10.11240/jsem.27.63
  • ISSN
    21879001
    13450581
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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