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Late postoperative infection caused by Pasteurella multocida
Scandinavian Journal of Infectious Diseases
|January 1, 1980
Abstract:
Pasteurella multocida is often found in local infections after animal bites. Septic conditions however are rare. A case of late infection by P. multocida at the site of the osteosynthesis 1 year after a primarily healed pertrochanteric fracture is described. The patient had a cat. After extraction of the plate and screws and treatment with penicillin the infection healed uneventfully.
Insights
Late Pasteurella multocida infection occurred at osteosynthesis hardware one year after a hip fracture. Prompt treatment with hardware removal and antibiotics led to a full recovery.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Bacteriology
Background:
- Pasteurella multocida is a common bacterium typically causing localized infections following animal bites.
- Septic complications arising from P. multocida infections are considered rare in clinical practice.
Observation:
- A rare case of late-onset P. multocida infection is presented.
- The infection manifested at the osteosynthesis site, one year post-surgery for a pertrochanteric fracture.
Findings:
- The patient, a cat owner, developed a P. multocida infection at the internal fixation site.
- Surgical removal of the plate and screws, coupled with penicillin treatment, resulted in the successful resolution of the infection.
Implications:
- This case highlights the potential for rare late-stage P. multocida osteomyelitis, even after initial fracture healing.
- Early diagnosis and appropriate antimicrobial therapy, alongside hardware management, are crucial for treating such infections.