Pasteurellosis is an

infection An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable dis ...

with a species of the

bacteria Bacteria (; singular: bacterium) are ubiquitous, mostly free-living organisms often consisting of one Cell (biology), biological cell. They constitute a large domain (biology), domain of prokaryotic microorganisms. Typically a few micrometr ...

l genus ''

Pasteurella __NOTOC__ ''Pasteurella'' is a genus of Gram-negative, facultatively anaerobic bacteria. ''Pasteurella'' species are nonmotile and pleomorphic, and often exhibit bipolar staining ("safety pin" appearance). Most species are catalase- and oxidase ...

'', which is found in

human Humans (''Homo sapiens'') are the most abundant and widespread species of primate, characterized by bipedalism and exceptional cognitive skills due to a large and complex brain. This has enabled the development of advanced tools, cultu ...

s and other

animal Animals are multicellular, eukaryotic organisms in the Kingdom (biology), biological kingdom Animalia. With few exceptions, animals Heterotroph, consume organic material, Cellular respiration#Aerobic respiration, breathe oxygen, are Motilit ...

s. ''

Pasteurella multocida ''Pasteurella multocida'' is a Gram-negative, nonmotile, penicillin-sensitive coccobacillus of the family Pasteurellaceae. Strains of the species are currently classified into five serogroups (A, B, D, E, F) based on capsular composition and ...

'' ( subspecies ''P. m. septica'' and ''P. m. multocida'') is carried in the mouth and respiratory tract of various animals, including pigs. It is a small,

Gram-negative Gram-negative bacteria are bacteria that do not retain the crystal violet stain used in the Gram staining method of bacterial differentiation. They are characterized by their cell envelopes, which are composed of a thin peptidoglycan cell wa ...

bacillus with bipolar staining by

Wayson stain The Wayson stain is a basic fuchsin- methylene blue, ethyl alcohol-phenol microscopic staining procedure. It was originally a modified methylene blue stain used for diagnosing bubonic plague. With this stain, ''Yersinia pestis'' appears purple ...

. In animals, it can originate in fulminant septicaemia (

chicken cholera Fowl cholera is also called avian cholera, avian pasteurellosis, avian hemorrhagic septicemia. Abraham b. It is the most common pasteurellosis of poultry. As the causative agent is ''Pasteurella multocida'', it is considered to be a zoonosis. Adu ...

), but is also a common

commensal Commensalism is a long-term biological interaction (symbiosis) in which members of one species gain benefits while those of the other species neither benefit nor are harmed. This is in contrast with mutualism, in which both organisms benefit fro ...

. Until taxonomic revision in 1999, ''Mannheimia'' spp. were classified as ''Pasteurella'' spp., and infections by organisms now called ''Mannheimia'' spp., as well as by organisms now called ''Pasteurella'' spp., were designated as pasteurellosis. The term "pasteurellosis" is often still applied to mannheimiosis, although such usage has declined.

Types

The several forms of the infection are: *

Skin Skin is the layer of usually soft, flexible outer tissue covering the body of a vertebrate animal, with three main functions: protection, regulation, and sensation. Other animal coverings, such as the arthropod exoskeleton, have different de ...

/ subcutaneous tissue disease is a septic phlegmon that develops classically in the hand and forearm after a

cat bite Cat bites are bites inflicted upon humans, other cats, and other animals by the domestic cat (). Data from the United States show that cat bites represent between 5–15% of all animal bites inflicted to humans, but it has been argued that this fig ...

. Inflammatory signs are very rapid to develop; in 1 or 2 hours, edema, severe pain, and serosanguineous exudate appear.

Fever Fever, also referred to as pyrexia, is defined as having a temperature above the normal range due to an increase in the body's temperature set point. There is not a single agreed-upon upper limit for normal temperature with sources using val ...

, moderate or very high, can be seen, along with

vomiting Vomiting (also known as emesis and throwing up) is the involuntary, forceful expulsion of the contents of one's stomach through the mouth and sometimes the nose. Vomiting can be the result of ailments like food poisoning, gastroenteri ...

, headache, and

diarrhea Diarrhea, also spelled diarrhoea, is the condition of having at least three loose, liquid, or watery bowel movements each day. It often lasts for a few days and can result in dehydration due to fluid loss. Signs of dehydration often begin w ...

. Lymphangitis is common. Complications are possible, in the form of

septic arthritis Acute septic arthritis, infectious arthritis, suppurative arthritis, osteomyelitis, or joint infection is the invasion of a joint by an infectious agent resulting in joint inflammation. Generally speaking, symptoms typically include redness, h ...

osteitis Osteitis is inflammation of bone. More specifically, it can refer to one of the following conditions: * Osteomyelitis, or ''infectious osteitis'', mainly ''bacterial osteitis'' * Alveolar osteitis or "dry socket" * Condensing osteitis (or Osteiti ...

, or evolution to chronicity. *

Sepsis Sepsis, formerly known as septicemia (septicaemia in British English) or blood poisoning, is a life-threatening condition that arises when the body's response to infection causes injury to its own tissues and organs. This initial stage is follo ...

is very rare, but can be as fulminant as septicaemic plague, with high fever,

rigors Chills is a feeling of coldness occurring during a high fever, but sometimes is also a common symptom which occurs alone in specific people. It occurs during fever due to the release of cytokines and prostaglandins as part of the inflammatory ...

, and vomiting, followed by

shock Shock may refer to: Common uses Collective noun *Shock, a historic commercial term for a group of 60, see English numerals#Special names * Stook, or shock of grain, stacked sheaves Healthcare * Shock (circulatory), circulatory medical emergen ...

and coagulopathy. * Pneumonia disease is also rare and appears in patients with some chronic

pulmonary pathology Pulmonary pathology is the subspecialty of surgical pathology which deals with the diagnosis and characterization of neoplastic and non-neoplastic diseases of the lungs and thoracic pleura. Diagnostic specimens are often obtained via bronchoscopic ...

. It usually presents as bilateral consolidating

pneumonia Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. Symptoms typically include some combination of productive or dry cough, chest pain, fever, and difficulty breathing. The severi ...

, sometimes very severe. *

Zoonosis A zoonosis (; plural zoonoses) or zoonotic disease is an infectious disease of humans caused by a pathogen (an infectious agent, such as a bacterium, virus, parasite or prion) that has jumped from a non-human (usually a vertebrate) to a human. ...

, pasteurellosis can be transmitted to humans through cats. Other locations are possible, such as septic arthritis, meningitis, and acute

endocarditis Endocarditis is an inflammation of the inner layer of the heart, the endocardium. It usually involves the heart valves. Other structures that may be involved include the interventricular septum, the chordae tendineae, the mural endocardium, or the ...

, but are very rare.

Diagnosis

Diagnosis is made with isolation of ''Pasteurella multocida'' in a normally sterile site (blood, pus, or cerebrospinal fluid).

Treatment

As the infection is usually transmitted into humans through animal bites, antibiotics usually treat the infection, but medical attention should be sought if the wound is severely swelling. Pasteurellosis is usually treated with high-dose penicillin if severe. Either

tetracycline Tetracycline, sold under various brand names, is an oral antibiotic in the tetracyclines family of medications, used to treat a number of infections, including acne, cholera, brucellosis, plague, malaria, and syphilis. Common side effects in ...

or chloramphenicol provides an alternative in beta-lactam-intolerant patients. However, it is most important to treat the wound.

Animals

''P. multocida'' causes numerous pathological conditions in domestic animals. It often acts with other infectious agents, such as ''

Chlamydia Chlamydia, or more specifically a chlamydia infection, is a sexually transmitted infection caused by the bacterium '' Chlamydia trachomatis''. Most people who are infected have no symptoms. When symptoms do appear they may occur only several we ...

'' and '' Mycoplasma'' species and

virus A virus is a submicroscopic infectious agent that replicates only inside the living cells of an organism. Viruses infect all life forms, from animals and plants to microorganisms, including bacteria and archaea. Since Dmitri Ivanovsk ...

es. Environmental conditions (transportation, housing deficiency, and bad weather) also play a role. These diseases are considered caused by ''P. multocida'', alone or associated with other pathogens: * Shipping fever in cattle and sheep ("shipping fever" may also be caused by ''Mannheimia haemolytica'', in the absence of ''P. multocida'', and ''M. haemolytica'' serovar A1 is known as the most common cause of the disease. The pathologic condition commonly arises where the causative organism becomes established by secondary infection, following a primary bacterial or viral infection, which may occur after stress, e.g. from handling or transport.) *

Enzootic Enzootic is the non-human equivalent of endemic and means, in a broad sense, "belonging to" or "native to", "characteristic of", or "prevalent in" a particular geography, race, field, area, or environment; native to an area or scope. It also has ...

pneumonia of

sheep Sheep or domestic sheep (''Ovis aries'') are domesticated, ruminant mammals typically kept as livestock. Although the term ''sheep'' can apply to other species in the genus '' Ovis'', in everyday usage it almost always refers to domesticated ...

(and

goat The goat or domestic goat (''Capra hircus'') is a domesticated species of goat-antelope typically kept as livestock. It was domesticated from the wild goat (''C. aegagrus'') of Southwest Asia and Eastern Europe. The goat is a member of the a ...

s, with frequent intervention of ''M. haemolytica'') *

Fowl cholera Fowl cholera is also called avian cholera, avian pasteurellosis, avian hemorrhagic septicemia. Abraham b. It is the most common pasteurellosis of poultry. As the causative agent is ''Pasteurella multocida'', it is considered to be a zoonosis. Adu ...

(

chicken The chicken (''Gallus gallus domesticus'') is a domesticated junglefowl species, with attributes of wild species such as the grey and the Ceylon junglefowl that are originally from Southeastern Asia. Rooster or cock is a term for an adu ...

and other domestic poultry and cage birds) * Enzootic pneumonia and atrophic rhinitis of

pigs The pig (''Sus domesticus''), often called swine, hog, or domestic pig when distinguishing from other members of the genus '' Sus'', is an omnivorous, domesticated, even-toed, hoofed mammal. It is variously considered a subspecies of ''Sus ...

* Pasteurellosis of chinchillas * Pasteurellosis of rabbits * Pasteurellosis is suspected to be the cause of recurrent mass mortality of

Saiga antelope The saiga antelope (, ''Saiga tatarica''), or saiga, is a critically endangered antelope which during antiquity inhabited a vast area of the Eurasian steppe spanning the foothills of the Carpathian Mountains in the northwest and Caucasus in t ...

s.Saigas on the brink: Multidisciplinary analysis of the factors influencing mass mortality events. Richard A. Kock,, Mukhit Orynbayev, Sarah Robinson, Steffen Zuther, Navinder J. Singh, Wendy Beauvais, Eric R. Morgan, Aslan Kerimbayev, Sergei Khomenko, Henny M. Martineau, Rashida Rystaeva, Zamira Omarova, Sara Wolfs, Florent Hawotte, Julien Radoux and Eleanor J. Milner-Gulland. Science Advances 17 Jan 2018: Vol. 4, no. 1, eaao2314 DOI: 10.1126/sciadv.aao2314

References

External links