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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
PubMed
Abstract

Insights

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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