PMID- 35322284 OWN - NLM STAT- MEDLINE DCOM- 20220602 LR - 20220823 IS - 1438-8359 (Electronic) IS - 0913-8668 (Linking) VI - 36 IP - 3 DP - 2022 Jun TI - Venoarterial extracorporeal membrane oxygenation for septic cardiomyopathy caused by Pasteurella multocida infection: a case report. PG - 428-431 LID - 10.1007/s00540-022-03057-4 [doi] AB - Pasteurella is a gram-negative coccobacillus that is commonly transmitted through cat and dog bites and causes various diseases in humans. In the present case, kissing an animal caused Pasteurella multocida infection, leading to sepsis and cardiogenic shock. We used venoarterial extracorporeal membrane oxygenation (VA-ECMO) to support the cardiovascular system until recovery. A 62-year-old man with no relevant history was referred to our hospital with a 1-day history of sore throat and fever. He was diagnosed with cervical cellulitis and later developed septic shock, which necessitated catecholamine administration and intubation. It was subsequently revealed that the patient had Pasteurella multocida bacteremia and kept a pet dog at home. In addition to sepsis, the patient experienced refractory cardiogenic shock and was unresponsive to medical treatment; therefore, VA-ECMO was initiated. After its introduction, the patient's hemodynamic status improved, and he was weaned from extracorporeal circulation after 6 days. He was discharged home and resumed his former life 50 days later. Pasteurella multocida infection can cause sepsis followed by severe cardiac dysfunction in healthy adults. Therefore, VA-ECMO may be a useful treatment option in patients with sepsis-induced myocardial dysfunction and refractory cardiogenic shock. CI - (c) 2022. The Author(s) under exclusive licence to Japanese Society of Anesthesiologists. FAU - Nagai, Ai AU - Nagai A AD - Department of Anesthesiology, Kitasato University, School of Medicine, 1-15-1 Kitasato Minami-ku, Sagamihara City, Kanagawa, 252-0375, Japan. FAU - Adachi, Takeshi AU - Adachi T AD - Department of Anesthesiology, Kitasato University, School of Medicine, 1-15-1 Kitasato Minami-ku, Sagamihara City, Kanagawa, 252-0375, Japan. adachit@med.kitasato-u.ac.jp. FAU - Nishizawa, Yoshiyuki AU - Nishizawa Y AD - Department of Anesthesiology, Kitasato University, School of Medicine, 1-15-1 Kitasato Minami-ku, Sagamihara City, Kanagawa, 252-0375, Japan. FAU - Kuroiwa, Masayuki AU - Kuroiwa M AD - Department of Anesthesiology, Kitasato University, School of Medicine, 1-15-1 Kitasato Minami-ku, Sagamihara City, Kanagawa, 252-0375, Japan. FAU - Arai, Masayasu AU - Arai M AD - Division of Intensive Care Medicine, Department of Research and Development Center for New Medical Frontiers, Kitasato University, School of Medicine, 1-15-1 Kitasato Minami-ku, Sagamihara City, Kanagawa, 252-0375, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20220323 PL - Japan TA - J Anesth JT - Journal of anesthesia JID - 8905667 SB - IM MH - Animals MH - *Cardiomyopathies/complications MH - Cats MH - Dogs MH - *Extracorporeal Membrane Oxygenation MH - Humans MH - Male MH - *Pasteurella multocida MH - *Sepsis/complications/therapy MH - Shock, Cardiogenic/etiology/therapy OTO - NOTNLM OT - Pasteurella multocida OT - Septic cardiomyopathy OT - Venoarterial extracorporeal membrane oxygenation EDAT- 2022/03/25 06:00 MHDA- 2022/06/03 06:00 CRDT- 2022/03/24 05:39 PHST- 2021/11/28 00:00 [received] PHST- 2022/03/07 00:00 [accepted] PHST- 2022/03/25 06:00 [pubmed] PHST- 2022/06/03 06:00 [medline] PHST- 2022/03/24 05:39 [entrez] AID - 10.1007/s00540-022-03057-4 [pii] AID - 10.1007/s00540-022-03057-4 [doi] PST - ppublish SO - J Anesth. 2022 Jun;36(3):428-431. doi: 10.1007/s00540-022-03057-4. Epub 2022 Mar 23.