'Biting the hand that feeds': fever and altered sensorium following a dog bite. Issue 12 (18th November 2011)

• Record Type: Journal Article
• Authors: Hawkins, Joseph; Wilson, Ann; McWilliams, Eric
• Is Part Of: Emergency medicine journal. Volume 28:Issue 12(2011)
• Page Start: 1071
• Page End: 1073
• Publication Date: 2011-11-18
• Subjects: Emergency medicine -- Periodicals; 616.02505
• DOI: 10.1136/emj.08.2010.3265rep
• Languages: English
• ISSNs: 1472-0205

Abstract

Abstract : Capnocytophaga canimorsus infection is the most severe and rapidly progressive bacterial infection transmitted by dog bite and fortunately is very rare. The authors describe a 68-year-old gentleman who presented in an acute confusional state 2 days after having been bitten on the left hand by a dog. Despite immediate broad-spectrum intravenous antibiotics, he developed significant sequelae including disseminated intravascular coagulopathy, microvascular emboli leading to peripheral necrosis, widespread local tissue destruction and septic arthritis. Our case illustrates a life-threatening presentation of infection with C canimorsus, which is known as 'the dog bite organism'. Early diagnosis and aggressive treatment is key to survival.