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Pasteurella multocida isolation from a tuboovarian abscess. A case report
1Department of Obstetrics and Gynecology, Monmouth Medical Center, Long Branch, NJ 07740, USA.
The Journal of Reproductive Medicine
|August 1, 1995
Summary
Pasteurella multocida, a rare cause of tuboovarian abscess, can lead to sepsis. Prompt identification and a minimum 14-day antibiotic course are crucial for successful treatment of this animal-associated infection.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Gynecologic Pathology
Background:
- Pasteurella multocida commonly causes skin and soft tissue infections after animal bites or scratches.
- Genitourinary tract infections with P. multocida are rare, with limited documented cases of tuboovarian abscess.
Purpose of the Study:
- To report a case of tuboovarian abscess and subsequent sepsis caused by Pasteurella multocida.
- To highlight the importance of considering P. multocida in cases of tuboovarian abscess, particularly with animal exposure.
- To emphasize appropriate antibiotic treatment duration for P. multocida infections.
Main Methods:
- A 44-year-old woman presented with an acute abdomen and a right-sided tuboovarian abscess.
- Surgical management included hysterectomy and bilateral salpingo-oophorectomy.
- Postoperative sepsis due to P. multocida was treated with a 13-day course of intravenous antibiotics (aqueous penicillin sodium, metronidazole, cefotaxime).
Main Results:
- The patient developed sepsis three days after initial discharge, with P. multocida identified in pelvic fluid cultures.
- The 13-day antibiotic regimen resulted in full defervescence and successful treatment.
- The patient was discharged on hospital day 15, fully recovered.
Conclusions:
- Pasteurella multocida should be considered an etiological agent in tuboovarian abscesses, especially in patients with significant animal contact.
- Perioperative antibiotic therapy of at least 14 days is recommended for acute adnexal infections caused by P. multocida.