Pasteurella multocida bacteraemia with liver abscess
File(s)
Accepted version
Author(s)
Sia, Tonnii
Eunice, Yong
Type
Journal Article
Abstract
A previously healthy woman in her mid-70s presented with right upper quadrant abdominal pain, fever, intermittent chills and malaise for 1 week. She was clinically septic with raised inflammatory markers. Her blood culture revealed Pasteurella multocida, which was susceptible to penicillin and amoxicillin-clavulanic acid. CT of liver revealed an abscess of 8.0×7.9×8.5 cm at the left lobe of the liver. However, the abscess was not amenable for surgical or radiological drainage. She was a farmer and had close contact with her pet cats. She was occasionally scratched by her cats when caring for them. The liver abscess resolved completely without drainage after prolonged antimicrobial therapy of 109 days. She commenced on 63 days of intravenous antimicrobials and 46 days of oral amoxicillin-clavulanic acid. This case illustrated P. multocida bacteraemia with a large liver abscess in an immunocompetent adult after non-bite exposure.
Date Issued
2024-01-16
Date Acceptance
2024-01-03
Citation
BMJ Case Reports, 2024, 17 (1)
ISSN
1757-790X
Publisher
BMJ Publishing Group
Journal / Book Title
BMJ Case Reports
Volume
17
Issue
1
Copyright Statement
© BMJ Publishing Group Limited 2024. This is the author’s accepted manuscript made available under a CC-BY licence in accordance with Imperial’s Research Publications Open Access policy (www.imperial.ac.uk/oa-policy)
License URL
Publication Status
Published
Article Number
ARTN e258386