#idboardreview 40 F injection drug use, 3+male partners in past month, has pets 🐈 🐶 🐠 presents with pain/swelling of hand. Severe allergy to penicillin: diffuse hives. Diagnosis? Treatment? #medEd #idmedEd 
Non motile facultative anaerobic gram negative cocobacilli
#Pasteurella multocida due to 🐈 bite. Pasteurella is S to penicillin, 2nd/3rd gen cephalosporins, carbapenems, tetracycline, FQ, tmp/smx. Pt had tenosynovitis underwent I&D and doxy
#Pasteurella typically seen w/ 🐕 🐈 bites but other animals have also been reported 🐖 🐀 🦁 opossum 🐇; also reported w/o bites/licks/scratches
#Pasteurella besides SSTI can also cause up & lower respiratory tract infections especially in pts w/underlying lung dz; rare bacteremia/endovascular infection can be seen
Medical microbiology 7th Ed by Murray et al.
