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July 1997

Pasteurella multocida Epiglottitis

Author Affiliations

From the Departments of Medicine (Drs Wine, Lim, and Fierer) and Pathology (Dr Fierer), Veterans Affairs San Diego Healthcare System, infectious Disease Section, San Diego, Calif.

Arch Otolaryngol Head Neck Surg. 1997;123(7):759-761. doi:10.1001/archotol.1997.01900070103018

Pasteurella multocida, a small gram-negative coccobacillus, colonizes the nasopharynx and gastrointestinal tract of many animals, including cats and dogs. Most human infections with P multocida are due to animal bites, but the respiratory tract is the second most common site of infection. We describe the third case report (to our knowledge) of acute P multocida epiglottitis. The mode of transmission in this case was inhalation of infectious nasopharyngeal secretions from cats. The patient responded well to treatment with penicillin, the drug of choice for P multocida infections. Therefore, infection with P multocida, though rare, should be considered in the differential diagnosis in any case involving acute epiglottitis and exposure to cats.

Arch Otolaryngol Head Neck Surg. 1997;123:759-761