Capnocytophaga canimorsus septicaemia in an asplenic patient with systemic lupus erythematosus

Rossi, P.; Oger, A; Bagnères, D.; Francès, Y.; Granel, B.

doi:10.1136/bcr.05.2009.1840

Cited by 7 publications

(5 citation statements)

References 6 publications

(8 reference statements)

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“…patients with chronic alcohol use, cirrhosis, malnutrition and post splenectomy. These patients should be prophylactically treated with penicillins with beta lactamase inhibitor [3,[8][9][10][11][12]. However, no identifiable risk factor was found in 40 % of cases of sepsis caused by C. canimorsus [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…Capnocytophaga canimorsus is bacteria commonly present in oral cavity of dogs and cats. Transmission to human is possible following a bite or a scratch by the animal, wound can be sometimes negligible and resulting infection often underestimated [1][2][3]. Especially immunocompromised patients and patients with severe comorbidities are susceptible to develop severe sepsis/septic shock not infrequently with fatal outcome.…”

Section: Introductionmentioning

confidence: 99%

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Capnocytophaga canimorsus: Rare cause of Fatal Septic Shock. Case report

Prucha¹

2015

Clin Microbiol

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Introduction: Capnocytophaga canimorsus is a common bacterium in oral cavity of dogs and cats. Severe sepsis can develop following a dog or cat bite or scratch in susceptible individuals. Main risk factor for severe infections is immune deficit. Case presentation: We describe a case of eighty-one-years old woman with significant comorbidities admitted to the hospital with fever and non-specific symptoms following a fall at home. She was bitten by her dog 3 days prior to admission with a small wound on her hand. She had cardiac arrest with cardiopulmonary resuscitation eleven hours after admission and died ten hours later in ICU from refractory septic shock. PCR confirmed C. canimorsus as a causative organism. Conclusions: Severe infections caused by C. canimorsus can develop following a bite or a scratch by dog or cat. Fulminant sepsis with fatal outcome can rapidly evolve and the main risk factor among patient population is present immune deficiency. Clinicians should be aware of this fact and any person at risk presenting to the hospital with recent bite or scratch injury by dog or cat should be given adequate antibiotic treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Capnocytophaga canimorsus: Rare cause of Fatal Septic Shock. Case report

Prucha¹

2015

Clin Microbiol

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“…To date, single cases of bilateral endogenous endophthalmitis of this etiology have been described. Immunosuppression, and especially asplenia, as predisposing factors are emphasized [ 19 , 20 ]. Although C. canimorsus infections most often occur in immunocompromised individuals, they may happen in immunocompetent patients as well [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Sudden Vision Loss as the First Sign of Sepsis—Bilateral Endogenous Endophthalmitis of Uncommon Capnocytophaga canimorsus Etiology

Łątkowska,

Gajdzis,

Turno-Kręcicka

et al. 2024

Medicina

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We present a case of bilateral endogenous endophthalmitis with an extremely rare etiology of Capnocytophaga canimorsus. A 42-year-old asplenic patient with bilateral deterioration of visual acuity presented to the Emergency Department. The sudden deterioration of visual acuity, which prompted the patient to visit the ophthalmologist, was the first sign of the onset of sepsis. The physicians’ attention, in addition to poor visual acuity and intense inflammation on ophthalmologic examination, was drawn to the reported flu-like symptoms. They were accompanied by high C-reactive protein results and abnormalities in echocardiography. A blood culture isolated the bacterium Capnocytophaga canimorsus. Immunocompromised patients are particularly susceptible to C. canimorsus infection. Endophthalmitis of this etiology has a very aggressive course, both ophthalmic and systemic. Therefore, quick diagnosis and initiation of adequate therapy are crucial.

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“…In the period 1990–2022, 125 articles described 207 cases of C. canimorsus infection (Supplemental Table). 12 …”

Section: Review Of the Literaturementioning

confidence: 99%

The Great pretender: the first case of septic shock due to Capnocytophaga canimorsus in Sardinia. A Case report and review of the literature

Sardo

Pes

Corona

et al. 2022

Journal of Public Health Research

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Capnocytophaga canimorsus (C. canimorsus) is an emerging pathogen in critical care. C. canimorsus is a Gram-negative bacillus, commonly isolated as a commensal microorganism of the oral flora of healthy dogs and cats. A 63-year-old woman came to the emergency department with fever, chills, and malaise 2 days after a minor dog bite. After admission to the medicine ward, she developed respiratory failure and livedo reticularis. In the intensive care unit (ICU), she presented full-blown septic shock with thrombocytopenia, coagulopathy, severe acute kidney injury, and liver injury. We describe the first case of septic shock with Multiple Organ Dysfunction Syndrome related to Capnocytophaga canimorsus infection in Sardinia and its treatment in a tertiary hospital ICU. We also review recent literature on the relevance of C. canimorsus in human disease and critical illness.

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Capnocytophaga canimorsus septicaemia in an asplenic patient with systemic lupus erythematosus

Cited by 7 publications

References 6 publications

Capnocytophaga canimorsus: Rare cause of Fatal Septic Shock. Case report

Capnocytophaga canimorsus: Rare cause of Fatal Septic Shock. Case report

Sudden Vision Loss as the First Sign of Sepsis—Bilateral Endogenous Endophthalmitis of Uncommon Capnocytophaga canimorsus Etiology

The Great pretender: the first case of septic shock due to Capnocytophaga canimorsus in Sardinia. A Case report and review of the literature

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