[Acute suppurative otitis media caused by pasteurella multocida :a case report]

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Jan 20;31(2):153-154. doi: 10.13201/j.issn.1001-1781.2017.02.019.
[Article in Chinese]

Abstract

The pasteurella multocida (PM) is widely gastrointestinal parasitic on dogs, cats and other animals. The PM human infections is caused by animal bites orits close contact. Clinically foundin focal wound infection after bite, and acute suppurative otitis media reportshave not been caused by PM. A 45 years old nasopharyngeal cancer who sudden stabbing painof the left ear for 5h. Physical examination found that the left earexisted a lot of yellowish white purulent secretion. Distribution and drug sensitivity test of bacteria showed PM and it was sensitive to many antibiotics. nasopharygo fiberscope revealed that eustachian tube and theleft ear had a large number of purulentsecretion. The main diagnosis was: ①Recurrent nasopharyngealcarcinoma; ② Acute suppurative otitis media.

Treatment: according to the results of drug sensitive test and skin test inpatients with selection of levofloxacin (0.2 g/12 h), clindamycin (0.6 g/12 h) anti-infection treatment, the patient get better in the end.

Keywords: bacteria; nasopharyngeal carcinoma; pasteurella multocida; suppurativeotitis media.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Bites and Stings
  • Carcinoma
  • Humans
  • Levofloxacin / therapeutic use
  • Male
  • Middle Aged
  • Nasopharyngeal Carcinoma
  • Nasopharyngeal Neoplasms
  • Otitis Media, Suppurative / diagnosis*
  • Otitis Media, Suppurative / drug therapy
  • Otitis Media, Suppurative / microbiology
  • Pasteurella Infections / drug therapy
  • Pasteurella multocida / isolation & purification*

Substances

  • Anti-Bacterial Agents
  • Levofloxacin