Spontaneous empyema and overwhelming septic shock due to Pasteurella multocida.
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.
Laupland
Kevin B
KB
Department of Critical Care Medicine, University of Calgary and Calgary Laboratory Services, Calgary, Alberta, Canada.
Rimmer
Karen P
KP
Gregson
Daniel B
DB
Megran
David W
DW
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