Pedersen G, Schønheyder H C, Nielsen L C
Department of Clinical Microbiology, Aalborg Hospital, Denmark.
APMIS. 1993 Jul;101(7):572-4. doi: 10.1111/j.1699-0463.1993.tb00148.x.
The observation of bacteria in a peripheral blood smear was conducive to the diagnosis of Capnocytophaga canimorsus septicaemia in a patient with no definite record of animal bites. Multiple rods were seen extracellularly and within the cytoplasm of neutrophils. The blood culture became positive after 18 h of incubation. Disseminated intravascular coagulation (DIC) was manifest and infarction of the spleen was suspected. Direct examination of peripheral blood smears could be a valuable adjunct in the diagnosis of overwhelming bacteraemia.
在一名无明确动物咬伤记录的患者中，在外周血涂片上观察到细菌有助于犬咬二氧化碳嗜纤维菌败血症的诊断。在中性粒细胞的胞外和胞质内可见多个杆菌。培养18小时后血培养呈阳性。出现了弥散性血管内凝血（DIC），怀疑有脾梗死。外周血涂片的直接检查可能是诊断严重菌血症的一项有价值的辅助手段。
