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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.47 no.4 São Paulo Dec. 1989

http://dx.doi.org/10.1590/S0004-282X1989000400014 

Meningencefalite por Pasteurella multocida: estudo clínico-laboratorial de um caso em lactente

 

Pasteurella multocida meningencephalitis: clinical and laboratory study of a case in a newborn infant

 

 

C. E. LevyI; K. IrinoII; C.R. FunayamaIII; M. Valeriana L. Moura-RibeiroIII

IFaculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP) e Instituto Adolfo Lutz de São Paulo (IAL): Laboratório de Microbiologia do Hospital das Clínicas (HC) da FMRP-USP
IIFaculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP) e Instituto Adolfo Lutz de São Paulo (IAL): Seção de Bacteriologia do IAL
IIIFaculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP) e Instituto Adolfo Lutz de São Paulo (IAL): Departamento de Neuropsiquiatria e Psicologia Médica da FMRP-USP

 

 


RESUMO

Os autores apresentam descrição clínico-laboratorial e evolutiva do caso de lactente com o diagnóstico de meningencefalite por Pasteurella multocida que apresentou na evolução atraso neuromotor, manifestações epilépticas, surdez neurossensorial e paresia crural à esquerda. Fazem também breve revisão do papel deste agente etiológico na patologia humana. Ressaltam a importância da P. multocida em casos de meningites bacterianas, fazendo-se o diagnóstico laboratorial diferencial com o Haemophilus influenzae e Neisseria meningitidis em processos infecciosos conseqüentes a arranhadura ou mordida de animais e nas bacteremias ou septicemias em pacientes com hepatopatias crônicas ou em estados de imunodepressão.


SUMMARY

The authors report a case of Pasteurella multocida meningencephalitis in a 5 week-old female infant, with special attention to clinical, laboratory and evolutive features. A moderate neurological sequel was observed at follow-up examinations. A brief review of the importance of P. multocida in human pathology is presented on the basis of the international literature, since the authors did not find any Brazilian reports. The, most important feature on P. multocida is the prevalence of bacterial meningitis at the extremes of age. Othervise, significant mistaken was found Between Gram stained smears of body fluids for P. multocida and Haemophilus influenzae or Neisseria meningitidis. Because its role in infections following animal bite or scratch and its opportunistic feature, P. multocida must be included among the possible etiologic agent of bacteremia or sepsis in patients with liver cirrhosis or immunesuppression.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERÊNCIAS

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7. Weaver RE, Hollis DG - Gram negative fermentative bacteria and Francisella tularensis. In Lennette EH, Balows A, Hausler WJ Jr, Truant JP (eds): Manual of Clinical Microbiology. Ed 3. American Society for Microbiology, Washington, 1980, pg 242.         [ Links ]

8. Weber DJ, Wolfson JS, Swartz MN, Hooper DC - Pasteurella multocida infections: report of 34 cases and review of the literature. Medicine 63: 133, 1984.         [ Links ]

 

 

Dra. M. Valeriano. L. Moura-Ribeiro - Departamento de Neuropsiquiatria e Psicologia Médica, Faculdade de Medicina de Ribeirão Preto, USP - Caixa Postal 301 - 14100 Ribeirão Preto SP - Brasil.

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