title: Spontaneous empyema and overwhelming septic shock due to Pasteurella multocida.
abstract: Invasive Pasteurella multocida infection, although uncommon, has been recognized to occur more frequently among patients with hepatic cirrhosis. This study reports a fatal case of bacteremic P. multocida empyema without pneumonia associated with refractory septic shock in a patient with both cirrhosis and asplenia.
authors.affiliation: Department of Critical Care Medicine, University of Calgary and Calgary Laboratory Services, Calgary, Alberta, Canada.
authors.forename: Kevin B
authors.initials: KB
authors.lastname: Laupland
authors.forename: Karen P
authors.initials: KP
authors.lastname: Rimmer
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Gregson
authors.forename: David W
authors.initials: DW
authors.lastname: Megran
mesh_terms: D016638:Critical Illness; D018450:Disease Progression; D016724:Empyema, Pleural / Q000175:diagnosis / Q000382:microbiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D010326:Pasteurella Infections / Q000150:complications / Q000175:diagnosis*; D016979:Pasteurella multocida / Q000302:isolation & purification*; D018570:Risk Assessment; D012772:Shock, Septic / Q000175:diagnosis* / Q000209:etiology