Hantson P, Gautier P E, Vekemans M C, Fievez P, Evrard P, Wauters G, Mahieu P
Department of Emergency and Intensive Medicine, Universitaires St-Luc, Brussels, Belgium.
Ann Emerg Med. 1991 Jan;20(1):93-4. doi: 10.1016/s0196-0644(05)81130-8.
A previously healthy 47-year-old woman presented to the emergency department with septic shock five days after a small dog bite on the dorsum of her hand. Capnocytophaga canimorsus was isolated from blood cultures. Despite intensive therapy, multiple organ failure developed, and the patient died 27 days after admission. Characteristics of Capnocytophaga (formerly CDC group Dysgonic Fermenter-2) infection are briefly discussed. This unusual outcome in a previously healthy patient and the need for careful management of dog bite wounds, even if initially very small, is emphasized.
一名47岁既往健康的女性，在手部背部被一只小狗咬伤五天后，因感染性休克被送往急诊科。血培养分离出犬咬二氧化碳嗜纤维菌。尽管进行了强化治疗，但仍出现多器官功能衰竭，患者在入院27天后死亡。本文简要讨论了犬咬二氧化碳嗜纤维菌（以前的疾病控制与预防中心（CDC）分类中的迟缓发酵菌-2组）感染的特点。强调了在一名既往健康的患者身上出现的这种不寻常结果，以及即使最初伤口非常小，也需要对狗咬伤伤口进行仔细处理。
