Pasteurella multocida: First case report of uterine abscess and septic metastasis

Area of Science:

• Gynecology
• Infectious Diseases
• Microbiology

Background:

• Human pasteurellosis is uncommon, with gynecologic involvement being exceptionally rare.
• Pasteurella multocida (PM) is a bacterium typically associated with animal bites but can cause opportunistic human infections.

Observation:

• A 54-year-old woman with a history of adenomyosis and hysteroscopic sterilization presented with sepsis.
• The sepsis was attributed to a uterine abscess caused by Pasteurella multocida.
• A secondary gluteal abscess complicated the clinical presentation.

Findings:

• The patient was successfully treated with a combination of antibiotherapy and surgical intervention.
• Surgical treatment included laparoscopic hysterectomy with salpingectomy and abscess drainage.
• Complete recovery was achieved following the comprehensive treatment regimen.

Implications:

• This case represents the first reported instance of a uterine abscess caused by Pasteurella multocida with a secondary septic focus.
• Highlights the potential for Pasteurella multocida to cause severe gynecologic infections and sepsis.
• Underscores the importance of considering Pasteurella multocida in the differential diagnosis of uterine and pelvic abscesses, particularly in patients with relevant exposure history.