A rare case of Waterhouse-Friderichsen syndrome caused by Capnocytophaga canimorsus in an immunocompetent patient.
A 53-year-old Caucasian male with hypertension and active tobacco abuse presented to a community hospital with a 2-day history of vague abdominal pain, myalgia and increased lethargy after being bitten on his right hand by the family dog while camping just 3 days prior to symptom onset. He expired w...
| Publicado en: | Infection Vol. 43; no. 5; pp. 599 - 603 |
|---|---|
| Autores principales: | , , |
| Formato: | case study diagnostic images Journal Article |
| Publicado: |
Springer Nature
Oct2015
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109968333&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109968333 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03008126 NXO jtl: Infection issn: 03008126 maglogo: N pubinfo: dt: Oct2015 vid: 43 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 109968333 109968333 109968333 10.1007/s15010-015-0740-7 NLM25676131 109968333 ppf: 599 ppct: 4 formats: fmt: @attributes: type: P tig: atl: A rare case of Waterhouse-Friderichsen syndrome caused by Capnocytophaga canimorsus in an immunocompetent patient. aug: au: Cooper, Joseph Dorion, Robert Smith, Joseph affil: Department of Internal Medicine, Geisinger Medical Center, 100 North Academy Avenue Danville 17822 USA sug: subj: Adrenal Glands Physiopathology Gram-Negative Bacterial Infections Dog and Cat Bites Male Middle Age Abdominal Pain Muscle Pain Disseminated Intravascular Coagulation Blood Culture Fatal Outcome Middle Aged: 45-64 years Male ab: A 53-year-old Caucasian male with hypertension and active tobacco abuse presented to a community hospital with a 2-day history of vague abdominal pain, myalgia and increased lethargy after being bitten on his right hand by the family dog while camping just 3 days prior to symptom onset. He expired within 90 min upon arrival to our intensive care unit. Pre-mortem blood cultures grew a fastidious Gram-negative aerobic rod that was identified as Capnocytophaga canimorsus. Autopsy findings showed multi-organ disseminated intravascular coagulopathy with microthrombi along with bilateral adrenal hemorrhage and necrosis of the adrenal glands consistent with Waterhouse-Friderichsen syndrome. This case contributes to the medical literature as a rare presentation of Capnocytophaga canimorsus infection in an otherwise immunocompetent patient and stresses the importance of a thorough history taking and physical examination by clinicians along with prompt administration of appropriate antibiotics. pubtype: Academic Journal doctype: case study diagnostic images Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
|---|