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Pasteurella multocida osteomyelitis: An unusual case presentation

H P von Schroeder1, R S Bell

  • 1Musculoskeletal Oncology Unit and Division of Orthopaedic Surgery, Mount Sinai Hospital and The University of Toronto, Toronto, Ontario.

The Canadian Journal of Infectious Diseases = Journal Canadien Des Maladies Infectieuses
|April 20, 2012
PubMed

Insights

A rare Pasteurella multocida infection caused chronic osteomyelitis in a farm worker. This unusual case highlights the need for suspicion in animal-related injuries, even without direct contact.

Area of Science:

  • Infectious Diseases
  • Osteomyelitis
  • Microbiology

Background:

  • Pasteurella multocida is a bacterium commonly found in animals.
  • Infections typically occur after direct animal bites or scratches.
  • Atypical presentations can pose diagnostic challenges.

Observation:

  • A healthy male farm employee presented with a chronic infection.
  • Osteomyelitis of the tibia developed without a history of direct animal inoculation.
  • Key indicators like fever and leukocytosis were notably absent.

Findings:

  • The infection was caused by Pasteurella multocida, presenting atypically.
  • Radiographic findings suggested osteoclast activation, mimicking musculoskeletal tumors.
  • Chronic osteomyelitis developed despite the lack of typical infection signs.

Implications:

  • Pasteurella multocida osteomyelitis requires a high index of suspicion.
  • Consider this pathogen in farm or animal-related injuries, even without direct contact.
  • Early recognition is crucial for appropriate management and preventing complications.
Keywords:
InfectionOsteomyelitisPasteurella multocidaTumourZoonosis

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