ERYTHROMYCIN FAILURE WITH SUBSEQUENT PASTEURELLA-MULTOCIDA MENINGITIS AND SEPTIC ARTHRITIS IN A CAT-BITE VICTIM

被引：24

作者：

LEVIN, JM ^{[1
]}

TALAN, DA ^{[1
]}

机构：

[1] UNIV CALIF LOS ANGELES,OLIVE VIEW MED CTR,DEPT EMERGENCY MED,ROOM 2A-208,14445 OLIVE VIEW DR,SYLMAR,CA 91342

来源：

ANNALS OF EMERGENCY MEDICINE | 1990年 / 19卷 / 12期

关键词：

cat bite; erythromycin; Pasteurella multocida;

D O I：

10.1016/S0196-0644(05)82621-6

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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 animal-bite infections. Suggestions for optimal empiric therapy of animal-bite infections and the differential diagnosis of severe cat-bite-associated sepsis are discussed. © 1990 American College of Emergency Physicians.

引用

页码：1458 / 1461

页数：4

共 30 条

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