Puzzling encounter of idiopathic pasteurella bacteraemia.

is a gram-negative coccobacillus that is commonly transmitted through animal bites including cats and dogs. The degree of infection can be worrisome in the immunosuppressed population with a stark correlation in patients with cirrhosis. However, taking that population into account, only 13 cases of bacteraemia have been recorded with the majority of those cases having cirrhotic liver disease along with multiple comorbidities.

Antimalarial prophylaxis failure: Malaria in a returning traveler despite mefloquine prophylaxis.

This case report presents a perplexing case of breakthrough infection despite prophylaxis with appropriate antimalarial prophylactic regimen of mefloquine in a compliant patient. A 78-year-old missionary who travels each year to the African subcontinent for multiple weeks to months, over 25 years, adheres to stringent antimalarial prophylaxis with Mefloquine as prescribed, starting prior to the trip and continuing after the return to the U.S.