Cortez J C, Shapiro M, Awe R J
Am J Med Sci. 1986 Aug;292(2):107-9. doi: 10.1097/00000441-198608000-00008.
A previously healthy 61-year-old woman was seen with an abnormal chest roentgenogram and a 3-week history of fever, chills, malaise, and right upper quadrant pain. Blood cultures revealed Pasteurella multocida sensitive to penicillin. Liver spleen radioisotope scan and CT scan revealed space occupying lesions in the right lobe of the liver. The patient was a gardener with no pets or animal exposure. This case illustrates P. multocida septicemia and a liver abscess in a patient without animal exposure. In addition, the possibility of soil as another reservoir of infection is raised.
一名61岁既往健康的女性因胸部X线片异常以及发热、寒战、全身不适和右上腹疼痛3周病史前来就诊。血培养显示多杀巴斯德菌对青霉素敏感。肝脏脾脏放射性核素扫描和CT扫描显示肝脏右叶有占位性病变。该患者是一名园艺工人,无宠物接触史或动物暴露史。本病例说明了在无动物暴露史的患者中发生的多杀巴斯德菌败血症和肝脓肿。此外,还提出了土壤作为另一个感染源的可能性。