Emerging presence of urethritis and balanitis by Pasteurella bettyae - 05/08/21
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Highlights |
• | Pasteurella form part of the nasopharyngeal and gastrointestinal mucosal microbiota of dogs and cats, among other animals. |
• | Humans can also be infrequently infected by Pasteurella bettyae that has been detected in genitourinary samples from infected patients, suggesting the possibility of sexual transmission. |
• | We report the first two published cases of infection (urethritis and balanitis) caused by P. bettyae, detected in men who have sex with men and had practiced unprotected intercourse. |
• | These findings underscore the importance of targeted treatment based on the culture of clinical samples, avoiding the administration of unnecessarily broad empirical treatments. |
Abstract |
Background |
Humans can also be infrequent infected by Pasteurella bettyae. We report the first association of P. bettyae with urethritis and balanitis in men who have sex with men practicing unprotected intercourse.
Patients and methods |
The standard culture for bacteria and fungi in genital samples, and a PCR study for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma spp. and Ureaplasma spp, were performed. Cultured microorganisms were identified by Maldi-Tof mass spectrometry and the susceptibility of the isolates were evaluated with the gradient test.
Results |
P. bettyae were isolated and were found to be susceptible to penicillin, amoxicillin-clavulanic acid, trimethoprim-sulfamethoxazole, ciprofloxacin, and doxycycline.
Conclusion |
This novel finding highlights the need for complete microbiological screening in adequate samples to detect possible infectious agents in these cases, not limited to conventional agents. These rare microorganisms can be detected by the application of Maldi-Tof in colonies grown in culture media.
Le texte complet de cet article est disponible en PDF.Keywords : Genital infection, Pasteurella bettyae, Emerging infection, Men who have sex men diseases
Plan
Vol 51 - N° 5
P. 492-494 - août 2021 Retour au numéro
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