Pasteurella multocida Spondylodiscitis in an Immunocompetent Patient.

We present the case of an 82-year-old woman, previously independent in activities of daily living, who developed fever, myalgias, and headache over one week. Two weeks earlier, she had been treated with antibiotics for a lower respiratory tract infection. The patient had no history of immunosuppression and was a pet owner. She was admitted to the emergency department (ED) with a fever and multiple perforating wounds on her hands. Laboratory findings revealed elevated inflammatory markers, including C-reactive protein and procalcitonin, without an obvious infectious source. During observation and further investigations in the ED, her clinical condition rapidly deteriorated, requiring vasopressor support and subsequent transfer to the intensive care unit (ICU). Blood and urine cultures were obtained, and empirical broad-spectrum antibiotics were initiated. In the ICU, the patient developed severe neck pain with functional limitations. Cervical magnetic resonance imaging (MRI) revealed spondylodiscitis with C3-C4-C5 paramedian epidural empyema. Blood cultures identified