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Acute cholecystitis with bacteremia caused by Pasteurella multocida.
Hiroshi Nagata1, Shigetoshi Yamada, Kouichi Uramaru
1Department of Surgery, Kameda Medical Center , Kamogawa, Japan .
Surgical Infections
|October 15, 2013
Summary
This case report highlights a rare instance of Pasteurella multocida causing acute cholecystitis and bacteremia in a young woman. The findings emphasize that the gallbladder can be a primary infection source for this bacterium.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Case Studies
Background:
- Pasteurella multocida is a common oral commensal in animals.
- While typically causing localized infections, intra-abdominal Pasteurella multocida infections are uncommon in humans.
- This report focuses on a rare presentation of P. multocida infection.
Observation:
- A 39-year-old female presented with acute cholecystitis.
- The patient underwent laparoscopic cholecystectomy.
- Blood and bile cultures confirmed Pasteurella multocida bacteremia.
Findings:
- The patient had pet dog and cat, but no history of bites or scratches.
- No other potential infection sources were identified.
- Acute cholecystitis was identified as the primary source of Pasteurella bacteremia.
Implications:
- This case suggests acute cholecystitis can be a primary source of Pasteurella bacteremia.
- Highlights the importance of considering P. multocida in unexplained bacteremia, even without clear animal exposure.
- Underscores the diverse clinical manifestations of Pasteurella multocida infections.
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