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Pasteurella multocida liver abscess.

J C Cortez, M Shapiro, R J Awe

    The American Journal of the Medical Sciences
    |August 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    A rare Pasteurella multocida septicemia case presented as a liver abscess in a gardener. This highlights soil as a potential infection source, even without direct animal contact.

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    Area of Science:

    • Infectious Diseases
    • Microbiology
    • Hepatology

    Background:

    • Pasteurella multocida is a bacterium typically associated with animal bites or scratches.
    • Infections usually manifest in respiratory or soft tissue infections.
    • Liver abscesses caused by P. multocida are exceptionally rare, particularly in individuals without known animal exposure.

    Observation:

    • A previously healthy 61-year-old woman, a gardener with no pets, presented with fever, malaise, and right upper quadrant pain.
    • Imaging revealed space-occupying lesions in the right liver lobe.
    • Blood cultures identified Pasteurella multocida, sensitive to penicillin.

    Findings:

    • The case demonstrates P. multocida septicemia leading to a liver abscess.
    • The patient's occupation as a gardener and lack of animal exposure suggest an alternative infection route.

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  • Soil is proposed as a potential reservoir for P. multocida transmission.

    • Implications:

    • This case expands the known spectrum of P. multocida infections.
    • It raises awareness of non-traditional transmission routes, such as soil contamination.
    • Clinicians should consider P. multocida in liver abscess cases, especially in individuals with environmental exposures.