G Vignon1, P Combeau2, J Violette1, A-S Cognée1, S Méglio2, F Carrère1, P Aucher1, F Lellouche3. 1. Groupement de coopération sanitaire de Saintonge, laboratoire inter-hospitalier de biologie médicale, centres hospitaliers de Saint-Jean-d'Angély, Saintes et Royan, 18, avenue du Port, 17400 Saint-Jean-d'Angély, France. 2. Groupement de coopération sanitaire urgences du Pays Royannais, centre hospitalier de Royan, 20, avenue de Saint-Sordelin, 17640 Vaux-sur-Mer, France. 3. Groupement de coopération sanitaire de Saintonge, laboratoire inter-hospitalier de biologie médicale, centres hospitaliers de Saint-Jean-d'Angély, Saintes et Royan, 18, avenue du Port, 17400 Saint-Jean-d'Angély, France. Electronic address: franck.lellouche@ch-royan.fr.
Abstract
INTRODUCTION: Capnocytophaga canimorsus is a Gram-negative bacterium present in normal dogs and cats mouths. It can be responsible for septic shocks after dog or cat bite, especially in asplenic patients. CASE REPORT: We report here a case of C. canimorsus infection rapidly presenting as a multiple organ dysfonction syndrome in an immunocompetent 54 years old patient, who lives near a dog, without any sign of bite. The evolution was a rapidly fatal fulminant septic shock. CONCLUSION: Among patients with a septic shock of unknown etiology, fatal evolution due to C. canimorsus should be avoided by systematic use of early antibiotherapy with amoxicilline and clavulanic acid, especially in patients who live near a pet, even if they are immunocompetent.
INTRODUCTION:Capnocytophaga canimorsus is a Gram-negative bacterium present in normal dogs and cats mouths. It can be responsible for septic shocks after dog or cat bite, especially in asplenic patients. CASE REPORT: We report here a case of C. canimorsus infection rapidly presenting as a multiple organ dysfonction syndrome in an immunocompetent 54 years old patient, who lives near a dog, without any sign of bite. The evolution was a rapidly fatal fulminant septic shock. CONCLUSION: Among patients with a septic shock of unknown etiology, fatal evolution due to C. canimorsus should be avoided by systematic use of early antibiotherapy with amoxicilline and clavulanic acid, especially in patients who live near a pet, even if they are immunocompetent.