title: Asplenic fulminant sepsis secondary to a dog bite complicated by toxic epidermal necrolysis/Stevens-Johnson syndrome.
abstract: We report a case of asplenic fulminant sepsis in Australia following a dog bite which was complicated by toxic epidermal necrolysis/Stevens-Johnson syndrome (TENS/SJS). Capnocytophaga canimorsus, the infective organism, is a rare cause of septicaemia: a high degree of suspicion of this unusual organism and its early aggressive management is paramount. The diagnostic and management difficulties of TENS/SJS in the context of a patient with fulminant sepsis, DIC and on inotropes are also highlighted.
authors.forename: Ken G
authors.initials: KG
authors.lastname: Teo
authors.forename: Namrata S
authors.initials: NS
authors.lastname: Anavekar
authors.forename: Anosha
authors.initials: A
authors.lastname: Yazdabadi
authors.forename: Sophie
authors.initials: S
authors.lastname: Ricketts
mesh_terms: D000818:Animals; D001733:Bites and Stings / Q000150:complications*; D002206:Capnocytophaga; D004211:Disseminated Intravascular Coagulation / Q000209:etiology / Q000382:microbiology / Q000628:therapy; D004285:Dogs; D017809:Fatal Outcome; D005260:Female; D005734:Gangrene / Q000209:etiology / Q000382:microbiology / Q000628:therapy; D016905:Gram-Negative Bacterial Infections / Q000209:etiology* / Q000628:therapy; D006801:Humans; D016867:Immunocompromised Host; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology / Q000382:microbiology / Q000628:therapy; D018805:Sepsis / Q000209:etiology / Q000382:microbiology* / Q000628:therapy; D013156:Splenectomy / Q000009:adverse effects; D013262:Stevens-Johnson Syndrome / Q000209:etiology / Q000382:microbiology* / Q000628:therapy