[Capnocytophaga canimorsus sepsis after a dog bite].
A 63-year-old man was admitted to hospital. He had a history of splenectomy secondary to trauma, previous alcohol abuse, cirrhosis and oesophagus varices. The patient had been bitten by a dog three days before admittance. He rapidly developed disseminated intravascular coagulation and multiple organ dysfunction. Six days after the bite, the patient died despite antibiotic treatment. The gram-negative rod Capnocytophaga canimorsus was found in the blood culture. This case emphasizes the importance of early diagnosis and prompt treatment of infections in post-splenectomy patients as they carry a greater-than-normal risk of serious complications.
Fredericia og Kolding Sygehuse, Ortopaedkirurgisk Afdeling.
Lonnie
L
Froberg
Sune
S
Kristensen
D000818:Animals; D001733:Bites and Stings / Q000382:microbiology*; D002206:Capnocytophaga / Q000302:isolation & purification; D004285:Dogs; D017809:Fatal Outcome; D005543:Forearm Injuries / Q000382:microbiology / Q000473:pathology; D016905:Gram-Negative Bacterial Infections / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000382:microbiology*; D013156:Splenectomy