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40
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Text
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URL Address
<a href="http://doi.org/10.1097/IPC.0000000000000802" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/IPC.0000000000000802</a>
Pages
E1-E2
Issue
1
Volume
28
ISSN
1056-9103
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Update Year & Number
June 2020 Update I
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
Affiliated Hospital
Summa Health System Akron City Hospital
Dublin Core
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Title
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Pubic Symphysis Septic Arthritis Caused by Pasteurella multocida Report of the First Known Case and Review of the Literature
Publisher
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Infectious Diseases in Clinical Practice
Date
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2020
2020-01
Subject
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axial joint arthritis; cat exposure; health district; infections; Pasteurella multocida; pubic symphysis septic arthritis
Creator
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French Brianna; Myers Joseph P
Description
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Pubic symphysis septic arthritis is rare. To our knowledge, pubic symphysis septic arthritis caused by Pasteurella multocida has not been previously reported. A 79-year-old woman presented to the emergency department with a 3-day history of progressively severe left groin pain and swelling with unintentional 20-lb weight loss. Physical examination was negative except for the presence of a tender, fluctuant mass approximately 6 x 2-cm dimensions extending from the midpubic symphysis area to the left femoral crease. Computed tomography scan of the abdomen/pelvis confirmed a multiloculated mass in the area of the pubic symphysis measuring 7.6 x 2.1 x 5.5 cm with fluid extending posteriorly behind the pubic symphysis and erosion of bone in the pubic symphysis. Ultrasound-guided aspiration of the mass yielded 6 mL of purulent fluid with many Gram-negative bacilli on Gram-stained smear and a pure growth P. multocida on culture. Intravenous piperacillin/tazobactam was begun. The patient underwent operative drainage of the mass, and operative cultures revealed pure growth of P. multocida. Subsequently obtained history revealed that the patient has 1 pet cat with only 1 remaining tooth and the patient has not been bitten, scratched, or licked by the cat. Patient was treated with parenteral piperacillin/tazobactam and then ampicillin/sulbactam followed by oral amoxicillin/clavulanate. She rapidly returned to normal activities with no recurrence at 3 months' follow-up.
Identifier
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<a href="http://doi.org/10.1097/IPC.0000000000000802" target="_blank" rel="noreferrer noopener">10.1097/IPC.0000000000000802</a>
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Format
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journalArticle
2020
axial joint arthritis
cat exposure
Department of Internal Medicine
French Brianna
health district
Infections
Infectious Diseases in Clinical Practice
Journal Article
journalArticle
June 2020 Update I
Myers Joseph P
NEOMED College of Medicine
Pasteurella multocida
pubic symphysis septic arthritis
Summa Health System Akron City Hospital