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Fiumana G, Botta D, Dalla Porta MF, Macchi S, Soncini E, Santaniello A, Paciello O, Amicucci M, Cellini M, Cesaro S. Consensus Statement on Animals' Relationship with Pediatric Oncohematological Patients, on Behalf of Infectious Diseases and Nurse Working Groups of the Italian Association of Pediatric Hematology-Oncology. J Clin Med 2023; 12:2481. [PMID: 37048565 PMCID: PMC10094863 DOI: 10.3390/jcm12072481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Revised: 03/17/2023] [Accepted: 03/22/2023] [Indexed: 03/29/2023] Open
Abstract
Contact with animals in pediatric oncohematologic patients is associated with many benefits, but the risk of contracting zoonoses, even if low, must be considered by clinicians. In order to assess the awareness about this topic, we surveyed the Italian pediatric oncohematology centers, which resulted in heterogeneous responses. The Infectious Diseases Working Group and the Nurse Working Group of the Italian Association of Pediatric Hematology-Oncology, together with veterinarians from the National Federation of Italian Veterinarians, drew up a consensus document to unify the indications to be given to families with the aim of guaranteeing a safe interaction between patients and animals and improving the collaboration of clinicians with veterinarians and families.
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Affiliation(s)
- Giulia Fiumana
- Department of Medical and Surgical Sciences of the Mothers, Children and Adults, Post Graduate School of Pediatrics, University of Modena and Reggio Emilia, 41121 Modena, Italy
| | - Debora Botta
- Pediatric Unit Ospedale Santissima Annunziata di Savigliano, 12038 Savigliano, Italy
| | - Maria Francesca Dalla Porta
- Department of Medical and Surgical Sciences of the Mothers, Children and Adults, Post Graduate School of Pediatrics, University of Modena and Reggio Emilia, 41121 Modena, Italy
| | - Simone Macchi
- Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy
| | - Elena Soncini
- Pediatric Oncohematology and Bone Marrow Transplant Unit, Children’s Hospital, Spedali Civili, 25123 Brescia, Italy
| | - Antonio Santaniello
- Department of Veterinary Medicine and Animal Production, Università degli Studi di Napoli Federico II, 80137 Naples, Italy
| | - Orlando Paciello
- Department of Veterinary Medicine and Animal Production, Università degli Studi di Napoli Federico II, 80137 Naples, Italy
- National Federation of Italian Veterinarians (FNOVI), 26100 Cremona, Italy
| | - Matteo Amicucci
- Department of Onco Haematology and Cell and Gene Therapy, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy
| | - Monica Cellini
- Pediatric Hematology Oncology Unit, Azienda Ospedaliero Universitaria Policlinico di Modena, 41125 Modena, Italy
| | - Simone Cesaro
- Pediatric Hematology and Oncology, Department of Mother and Child, Azienda Ospedaliera Universitaria Integrata, 37126 Verona, Italy
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Boadu C, Hernandez A, Zeidan B, Young JT, Frunzi J. Pasteurella multocida Bacteremia in an Immunocompromised Patient After Multiple Cat Scratches. Cureus 2021; 13:e12938. [PMID: 33654617 PMCID: PMC7916639 DOI: 10.7759/cureus.12938] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Pasteurella multocida (P. multocida) is a zoonotic organism found in the normal flora of domestic and wild animals. In this case report, we present a 70-year-old Caucasian male who presented with fever, chills, and greenish sputum which began hours prior to presentation. His symptoms were initially thought to be due to refractory pneumonia because the patient had been discharged from our hospital three weeks prior to presentation. Blood cultures grew P. multocida, a rare pathogen to cause bacteremia. He was treated with cefepime and later amoxicillin/clavulanic acid and made an uneventful recovery. Later history of the patient’s cats scratching him was thought to be the mode of transmission. P. multocida infection is rare, and can also be dangerous and even fatal in immunocompromised individuals. Clinicians must therefore operate with a high degree of suspicion especially when treating immunocompromised patients with bacteremia.
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Affiliation(s)
- Charles Boadu
- Internal Medicine, Medical Center of Trinity, Trinity, USA
| | | | - Bassem Zeidan
- Internal Medicine, Medical Center of Trinity, Trinity, USA
| | - Jordan T Young
- Internal Medicine, Medical Center of Trinity, Trinity, USA
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