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Pasteurella multocida osteomyelitis of the cervical spine in a patient on chronic haemodialysis

C C Tan1, T Y Ti, E J Lee

  • 1Department of Medicine, National University of Singapore.

Singapore Medical Journal
|August 1, 1990
PubMed

Insights

Pasteurella multocida can cause osteomyelitis, typically from direct contact. This case highlights rare hematogenous spread in a dialysis patient following a monkey bite, leading to cervical vertebral osteomyelitis.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Orthopedics

Background:

  • Osteomyelitis caused by Pasteurella multocida is usually linked to direct inoculation or local spread after animal bites.
  • Such infections frequently affect individuals with significant underlying health conditions.
  • Hematogenous osteomyelitis due to Pasteurella multocida is exceptionally rare, especially in patients with chronic renal failure.

Observation:

  • A patient undergoing chronic hemodialysis presented with an acute febrile illness.
  • The illness occurred two months after sustaining a monkey bite.
  • The patient was diagnosed with cervical vertebral osteomyelitis.

Findings:

  • The causative agent identified was Pasteurella multocida.
  • The osteomyelitis was confirmed to be of hematogenous origin.
  • This represents a rare instance of Pasteurella multocida causing vertebral osteomyelitis via the bloodstream.

Implications:

  • This case expands the understanding of Pasteurella multocida infection pathways.
  • It underscores the potential for rare complications in immunocompromised patients, such as those on dialysis.
  • Highlights the importance of considering less common transmission routes for Pasteurella multocida in susceptible populations.

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