Why Asplenic Patients Should Not Take Care of the Neighbour's Dog?: A Fatal Course of Capnocytophaga canimorsus Sepsis
Standard
Why Asplenic Patients Should Not Take Care of the Neighbour's Dog?: A Fatal Course of Capnocytophaga canimorsus Sepsis. / Langguth, Patrick; Leissner, Lothar; Zick, Günther; Fischer, Arno; Stuhlmann-Laiesz, Christiane; Salehi Ravesh, Mona; Austein, Friederike; Jansen, Olav; Both, Marcus.
in: CASE REP INFECT DIS, Jahrgang 2018, 2018, S. 3870640.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Why Asplenic Patients Should Not Take Care of the Neighbour's Dog?: A Fatal Course of Capnocytophaga canimorsus Sepsis
AU - Langguth, Patrick
AU - Leissner, Lothar
AU - Zick, Günther
AU - Fischer, Arno
AU - Stuhlmann-Laiesz, Christiane
AU - Salehi Ravesh, Mona
AU - Austein, Friederike
AU - Jansen, Olav
AU - Both, Marcus
PY - 2018
Y1 - 2018
N2 - Capnocytophaga canimorsus (CC) belongs to the family Flavobacteriaceae which physiologically occurs in the natural flora of the oral mucosa of dogs and cats. In patients with a compromised immune system, CC can induce a systemic infection with a fulminant course of disease. Infections with CC are rare, and the diagnosis is often complicated and prolonged. We describe a patient with a medical history of prior splenectomy who presented with an acute sepsis and disseminated intravascular coagulation (DIC) and was initially treated on Waterhouse-Friderichsen syndrome (WFS). After the patient had died despite forced treatment in the intermediate care unit, the differential diagnosis of CC was confirmed by culture of blood smears. Later on, a retrospective third-party anamnesis revealed that the patient had contact to his neighbour's dog a few days before disease onset. In conclusion, patients with CC infection can mimic WFS and therefore must be included in the differential diagnosis, especially in patients with a corresponding medical history of dog or cat bites, scratches, licks, or simple exposure.
AB - Capnocytophaga canimorsus (CC) belongs to the family Flavobacteriaceae which physiologically occurs in the natural flora of the oral mucosa of dogs and cats. In patients with a compromised immune system, CC can induce a systemic infection with a fulminant course of disease. Infections with CC are rare, and the diagnosis is often complicated and prolonged. We describe a patient with a medical history of prior splenectomy who presented with an acute sepsis and disseminated intravascular coagulation (DIC) and was initially treated on Waterhouse-Friderichsen syndrome (WFS). After the patient had died despite forced treatment in the intermediate care unit, the differential diagnosis of CC was confirmed by culture of blood smears. Later on, a retrospective third-party anamnesis revealed that the patient had contact to his neighbour's dog a few days before disease onset. In conclusion, patients with CC infection can mimic WFS and therefore must be included in the differential diagnosis, especially in patients with a corresponding medical history of dog or cat bites, scratches, licks, or simple exposure.
U2 - 10.1155/2018/3870640
DO - 10.1155/2018/3870640
M3 - SCORING: Journal article
C2 - 30174969
VL - 2018
SP - 3870640
JO - CASE REP INFECT DIS
JF - CASE REP INFECT DIS
SN - 2090-6625
ER -
