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dc.contributor.authorPatel, Hiren
dc.contributor.authorPatel, Nirali
dc.contributor.authorPatel, Harsh
dc.contributor.authorChow, Robert Dobbin
dc.date.accessioned2021-07-12T13:04:39Z
dc.date.available2021-07-12T13:04:39Z
dc.date.issued2021-05-10
dc.identifier.urihttp://hdl.handle.net/10713/16161
dc.description.abstractPasteurella multocida is a gram-negative bacterium that colonizes domestic animals. It is commonly implicated in bite and scratch wounds, potentially resulting in cellulitis, superficial abscesses, osteomyelitis, or peritonitis. Rarely, it can lead to bacteremia and septic shock in high-risk patients. We present an atypical presentation of Pasteurella multocida bacteremia and sepsis in a patient with stage 4 decompensated cirrhosis. The patient presented with melena and altered mental status with CT imaging showing a heterogeneous nodular liver along with an enlarged portal vein, gastric varices, and ascites consistent with decompensated cirrhosis. The patient was initially managed with intravenous (IV) octreotide and pantoprazole, blood and platelet transfusions, and broad-spectrum antibiotics. Upper endoscopy showed diffuse non-bleeding esophageal and gastric varices, which required band ligation and continued IV octreotide therapy. The infection resolved after a 7-day course of IV ceftriaxone.en_US
dc.description.urihttps://doi.org/10.1080/20009666.2021.1906490en_US
dc.language.isoenen_US
dc.publisherTaylor and Francis Inc.en_US
dc.relation.ispartofJournal of Community Hospital Internal Medicine Perspectivesen_US
dc.rights© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center.en_US
dc.subjectPasteurella multocidaen_US
dc.subjectbacteremiaen_US
dc.subjectcellulitisen_US
dc.subjectdecompensated cirrhosisen_US
dc.subjectimmunosuppresseden_US
dc.subjectsepsisen_US
dc.titleA bite difficult to heal: induced decompensated hepatic cirrhosisen_US
dc.typeArticleen_US
dc.identifier.doi10.1080/20009666.2021.1906490
dc.identifier.pmid34234911
dc.source.volume11
dc.source.issue3
dc.source.beginpage379
dc.source.endpage383
dc.source.countryUnited States


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