Rare case of catastrophic diffuse hemorrhage complicating sepsis and meningitis due to pasteurella stomatis in an elderly woman mimicking hemorrhagic septicemia

摘要

Cases of hemorrhagic septicemia because of Pasteurella were mainly in fallow deer, pigs, cattle, or horses generally in a tropical area where it is endemic. The infected animals present high fever, significant asthenia, diffuse hemorrhage, subcutaneous edema, hypersalivation, and diarrhea; sometimes, the disease can cause sudden death. The diagnosis of hemorrhagic septicemia does not refer to human beings. An exception is a case of an 82-year-old woman who presented with a fatal catastrophic diffuse hemorrhage secondarily to complicating meningitis and sepsis with probable Waterhouse-Friderichsen syndrome due to Pasteurella stomatis. This was the result of her domestic cat licking the damaged skin on her leg and mimicking hemorrhagic septicemia.