title: Septic Arthritis and Osteomyelitis Caused by Pasteurella multocida.
abstract: This report presents a case of progressive septic arthritis and osteomyelitis caused by a rare pathogen, Pasteurella multocida, thought to be provoked by the use of systemic corticosteroids. Despite initial improvement after antibiotics and surgical procedure, the patient returned with new, associated symptoms 1 month later. This concurrent set of circumstances leading to a life-threatening condition has not been reported, to the best of our knowledge. Physicians aware of such a case will be better prepared to diagnose, treat, and educate their patients. Additionally, the diagnostic challenge presented by this case report emphasizes the need for vigilance and thoroughness in obtaining histories from patients presenting with seemingly benign complaints, especially in vulnerable populations, such as infants, pregnant women, and immunocompromised adults.
authors.forename: Neil
authors.initials: N
authors.lastname: Vranis
authors.forename: Ebrahim
authors.initials: E
authors.lastname: Paryavi
authors.forename: Matthew
authors.initials: M
authors.lastname: Christian
authors.forename: Manjari
authors.initials: M
authors.lastname: Joshi
authors.affiliation: R Adams Cowley Shock Trauma Center, Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD. rpensy@umoa.umm.edu.
authors.forename: Raymond A
authors.initials: RA
authors.lastname: Pensy
mesh_terms: D000368:Aged; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000382:microbiology* / Q000628:therapy; D001706:Biopsy; D001733:Bites and Stings; D002415:Cats; D003131:Combined Modality Therapy; D003646:Debridement; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000382:microbiology* / Q000628:therapy; D010326:Pasteurella Infections / Q000382:microbiology* / Q000628:therapy; D016979:Pasteurella multocida / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents