Pubic Symphysis Septic Arthritis Caused by Pasteurella multocida Report of the First Known Case and Review of the Literature

Title

Pubic Symphysis Septic Arthritis Caused by Pasteurella multocida Report of the First Known Case and Review of the Literature

Creator

French Brianna; Myers Joseph P

Publisher

Infectious Diseases in Clinical Practice

Date

2020
2020-01

Description

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.

Subject

axial joint arthritis; cat exposure; health district; infections; Pasteurella multocida; pubic symphysis septic arthritis

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home

Pages

E1-E2

Issue

1

Volume

28

ISSN

1056-9103

NEOMED College

NEOMED College of Medicine

NEOMED Department

Department of Internal Medicine

Update Year & Number

June 2020 Update I

Affiliated Hospital

Summa Health System Akron City Hospital

Citation

French Brianna; Myers Joseph P, “Pubic Symphysis Septic Arthritis Caused by Pasteurella multocida Report of the First Known Case and Review of the Literature,” NEOMED Bibliography Database, accessed August 3, 2021, https://neomed.omeka.net/items/show/11016.

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