Box 2: Pathogens of particular concern in pet-associated infections
PathogenKey pet sourcesDisease in high-risk patients (age < 5 or ≥ 65 yr, immunocompromised or pregnant)
IncidenceSeverity
Bacterial diseases
Bartonella speciesCats (B. clarridgeiae, B. henselae); rodents, rabbits, and dogs (B. alsatica, B. vinsonii species)Low (likely underdiagnosed)Low to high
Brucella canisDogsRareModerate
Campylobacter jejuniDogs, cats (likely other species)HighLow
Capnocytophaga canimorsusDogs, catsRareHigh
Chlamydophila psittaciBirdsRareModerate
Leptospira interrogansDogs, cats, rodentsLowModerate
Multidrug-resistant bacteria (e.g., MRSA, Clostridium difficile, ESBL-producing organisms)Likely all species (although data limited)VariableVariable
Mycobacterium marinumFishRareLow
Pasteurella multocidaDogs, catsModerateModerate
Salmonella speciesAll species; high prevalence in amphibians, reptiles, exotic animals, rodents and young poultry, in addition to certain raw pet foods (e.g., meat, eggs and animal product treats, such as pig’s ears)ModerateModerate (particularly in newborns and patients with sickle cell anemia)
Parasitic diseases
Cutaneous larva migrans (hookworms; canine and feline)Dogs, cats (particularly juvenile animals)Low to high (depending on geography)Low
Cryptosporidium speciesDogs, cats, possibly birdsModerateModerate
Echinococcus speciesDog, catsRareHigh
Giardia duodenalisDogs, catsModerate (species-specific assemblages; some shared by people and animals)Low
Ocular or visceral larva migrans (roundworms; Toxocara canis [dogs] and T. cati [cats])Dogs, cats (particularly juvenile animals)Low to moderate (depending on geography)Low to high (particularly among children)
Toxoplasma gondiiCats (although food and environment are main sources)ModerateHigh (particularly among pregnant women and very immunocompromised patients)
Fungal diseases
Dermatophytes (Microsporum canis, Trichophyton mentagrophytes)Cats (other species possible, but less common)HighLow
Viral diseases
Lymphocytic choriomeningitisRodents (particularly mice and hamsters)RareModerate to high (particularly among pregnant women and immunocompromised patients)
RabiesAny mammal (particularly unvaccinated cats and dogs)RareHigh
  • Note: ESBL = extended-spectrum β-lactamase, MRSA = methicillin-resistant Staphylococcus aureus.