Department of Internal Medicine, Conquest Hospital, St. Leonards-on-Sea, East Sussex, UK.
Emerg Med J. 2011 Dec;28(12):1071-3. doi: 10.1136/emj.08.2010.3265rep.
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.
犬咬二氧化碳噬纤维菌感染是一种由狗咬伤传播的最严重和最快进展的细菌性感染，幸运的是这种病非常罕见。作者描述了一位 68 岁的绅士，他在左手被狗咬伤两天后出现急性意识混乱状态。尽管立即给予了广谱静脉内抗生素治疗，但他仍出现了严重的后遗症，包括弥散性血管内凝血、微血管栓塞导致外周坏死、广泛的局部组织破坏和败血性关节炎。我们的病例说明了犬咬二氧化碳噬纤维菌感染具有威胁生命的表现，这种细菌通常被称为“狗咬伤生物体”。早期诊断和积极治疗是生存的关键。
