Why Asplenic Patients Should Not Take Care of the Neighbour’s Dog? A Fatal Course of Capnocytophaga canimorsus Sepsis
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 ra...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2018/3870640 |
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| author | Patrick Langguth Lothar Leissner Günther Zick Arno Fischer Christiane Stuhlmann-Laiesz Mona Salehi Ravesh Friederike Austein Olav Jansen Marcus Both |
| author_facet | Patrick Langguth Lothar Leissner Günther Zick Arno Fischer Christiane Stuhlmann-Laiesz Mona Salehi Ravesh Friederike Austein Olav Jansen Marcus Both |
| author_sort | Patrick Langguth |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-83f2d043b3e24ceba616b4b868d29e44 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-83f2d043b3e24ceba616b4b868d29e442025-02-03T01:11:00ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/38706403870640Why Asplenic Patients Should Not Take Care of the Neighbour’s Dog? A Fatal Course of Capnocytophaga canimorsus SepsisPatrick Langguth0Lothar Leissner1Günther Zick2Arno Fischer3Christiane Stuhlmann-Laiesz4Mona Salehi Ravesh5Friederike Austein6Olav Jansen7Marcus Both8Department of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, GermanyDepartment of General and Thoracic Surgery, University Hospital Schleswig-Holstein, Kiel, GermanyDepartment of Anesthesiology and Surgical Intensive Care, University Hospital Schleswig-Holstein, Kiel, GermanyInstitute for Infection Medicine, University Hospital Schleswig-Holstein, Kiel, GermanyInstitute for Pathology, University Hospital Schleswig-Holstein, Kiel, GermanyDepartment of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, GermanyDepartment of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, GermanyDepartment of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, GermanyDepartment of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, GermanyCapnocytophaga 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.http://dx.doi.org/10.1155/2018/3870640 |
| spellingShingle | Patrick Langguth Lothar Leissner Günther Zick Arno Fischer Christiane Stuhlmann-Laiesz Mona Salehi Ravesh Friederike Austein Olav Jansen Marcus Both Why Asplenic Patients Should Not Take Care of the Neighbour’s Dog? A Fatal Course of Capnocytophaga canimorsus Sepsis Case Reports in Infectious Diseases |
| title | Why Asplenic Patients Should Not Take Care of the Neighbour’s Dog? A Fatal Course of Capnocytophaga canimorsus Sepsis |
| title_full | Why Asplenic Patients Should Not Take Care of the Neighbour’s Dog? A Fatal Course of Capnocytophaga canimorsus Sepsis |
| title_fullStr | Why Asplenic Patients Should Not Take Care of the Neighbour’s Dog? A Fatal Course of Capnocytophaga canimorsus Sepsis |
| title_full_unstemmed | Why Asplenic Patients Should Not Take Care of the Neighbour’s Dog? A Fatal Course of Capnocytophaga canimorsus Sepsis |
| title_short | Why Asplenic Patients Should Not Take Care of the Neighbour’s Dog? A Fatal Course of Capnocytophaga canimorsus Sepsis |
| title_sort | why asplenic patients should not take care of the neighbour s dog a fatal course of capnocytophaga canimorsus sepsis |
| url | http://dx.doi.org/10.1155/2018/3870640 |
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