[An unusual aetiology for septic shock: Capnocytophaga canimorsus. Is always dog man's best friend?].
The mortality of overwhelming postsplenectomy infections (OPSI) is significant (50 to 80 percent). Capnocytophaga canimorsus belongs to the normal oral flora of dogs and cats. It is seldom responsible for human infections, but its prognosis is bad (about 30 percent of overall mortality), especially in asplenic patients. We report a case of a splenectomized patient who suffered from communal septic shock due to C. canimorsus septicaemia. The course of events was rapidly fatal. Diagnosis and mode of contamination were determined only a few weeks after the patient's death. This late microbiological diagnosis is due to a slow growth of C. canimorsus in vitro.
Gouin
P
P
Département d'anesthésie-réanimation, hôpital Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France. Philippe.gouin@chu-rouen.fr
Veber
B
B
Collange
O
O
Frebourg
N
N
Dureuil
B
B
D000328:Adult; D000818:Animals; D002206:Capnocytophaga; D004285:Dogs; D017809:Fatal Outcome; D016905:Gram-Negative Bacterial Infections / Q000209:etiology* / Q000382:microbiology / Q000503:physiopathology; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000209:etiology* / Q000382:microbiology / Q000503:physiopathology; D012772:Shock, Septic / Q000209:etiology* / Q000382:microbiology / Q000503:physiopathology; D013156:Splenectomy / Q000009:adverse effects*