Secretory diarrhea following a dog bite.
Overwhelming sepsis is rarely complicated by secretory diarrhea. We present a case of fulminant sepsis associated with dermatologic manifestations, disseminated intravascular coagulation (DIC), and a severe secretory diarrhea that has not previously been described. This followed a dog bite, and the patient was otherwise healthy. The combination of septic shock, skin lesions, and DIC occurring after a dog bite has been attributed to dysgonic fermentor 2 organisms, now called Capnocytophaga canimorsus, but none were cultured in this case (7). Dysgonic fermentor-2 may be a new cause of secretory diarrhea and should be considered in the differential diagnosis of overwhelming sepsis associated with diarrhea.
Peek
R M
RM
Department of Medicine, University of Alabama, Birmingham 35294.
Truss
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D000818:Animals; D001733:Bites and Stings / Q000150:complications*; D003967:Diarrhea / Q000209:etiology*; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D004285:Dogs; D005260:Female; D006801:Humans; D008875:Middle Aged; D012772:Shock, Septic / Q000209:etiology*; D014946:Wound Infection / Q000150:complications / Q000382:microbiology*