Rapid Diagnosis of Capnocytophaga Infection Made by Peripheral Blood Smear
Dog bites causing local infection are common but seldom lead to life-threatening complications. We present a case of a 52-year-old woman who presented with septic shock and multiorgan failure after sustaining a dog bite. At presentation, she was in multiorgan failure with a necrotic bite wound on he...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2023-11-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2023.0057 |
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| author | Helen Tran John Park Paul C. Adamson Nam K. Ku Kathryn H. Melamed |
| author_facet | Helen Tran John Park Paul C. Adamson Nam K. Ku Kathryn H. Melamed |
| author_sort | Helen Tran |
| collection | DOAJ |
| description | Dog bites causing local infection are common but seldom lead to life-threatening complications. We present a case of a 52-year-old woman who presented with septic shock and multiorgan failure after sustaining a dog bite. At presentation, she was in multiorgan failure with a necrotic bite wound on her finger and a petechial rash on her face, arms, and legs. Abdominal imaging revealed asplenia. Her peripheral smear showed rod-like inclusions within neutrophils, consistent with intracellular bacilli. A diagnosis of Capnocytophaga infection was made. She was started on broad-spectrum antibiotics, including piperacillin–tazobactam, and made a full recovery. |
| format | Article |
| id | doaj-art-8e4809bbbcf844cbb3e08bb5164fd1fc |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2023-11-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-8e4809bbbcf844cbb3e08bb5164fd1fc2025-08-20T02:13:01ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642023-11-0121110.7326/aimcc.2023.0057Rapid Diagnosis of Capnocytophaga Infection Made by Peripheral Blood SmearHelen Tran0John Park1Paul C. Adamson2Nam K. Ku3Kathryn H. Melamed41Department of Medicine, Olive View-UCLA Medical Center, Los Angeles, California2Department of Medicine, Kaiser Permanente, Los Angeles, California3Division of Infectious Diseases, Department of Medicine, UCLA, Los Angeles, California4Department of Pathology and Laboratory Medicine, UCLA, Los Angeles, California5Division of Pulmonary & Critical Care Medicine, Department of Medicine, UCLA, Los Angeles, CaliforniaDog bites causing local infection are common but seldom lead to life-threatening complications. We present a case of a 52-year-old woman who presented with septic shock and multiorgan failure after sustaining a dog bite. At presentation, she was in multiorgan failure with a necrotic bite wound on her finger and a petechial rash on her face, arms, and legs. Abdominal imaging revealed asplenia. Her peripheral smear showed rod-like inclusions within neutrophils, consistent with intracellular bacilli. A diagnosis of Capnocytophaga infection was made. She was started on broad-spectrum antibiotics, including piperacillin–tazobactam, and made a full recovery.https://www.acpjournals.org/doi/10.7326/aimcc.2023.0057 |
| spellingShingle | Helen Tran John Park Paul C. Adamson Nam K. Ku Kathryn H. Melamed Rapid Diagnosis of Capnocytophaga Infection Made by Peripheral Blood Smear Annals of Internal Medicine: Clinical Cases |
| title | Rapid Diagnosis of Capnocytophaga Infection Made by Peripheral Blood Smear |
| title_full | Rapid Diagnosis of Capnocytophaga Infection Made by Peripheral Blood Smear |
| title_fullStr | Rapid Diagnosis of Capnocytophaga Infection Made by Peripheral Blood Smear |
| title_full_unstemmed | Rapid Diagnosis of Capnocytophaga Infection Made by Peripheral Blood Smear |
| title_short | Rapid Diagnosis of Capnocytophaga Infection Made by Peripheral Blood Smear |
| title_sort | rapid diagnosis of capnocytophaga infection made by peripheral blood smear |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2023.0057 |
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