MMWR Morb Mortal Wkly Rep. 1993 Feb 5;42(4):72-3.
Since 1961, 200 human isolates of Capnocytophaga canimorsus--a gram-negative bacterium--have been sent to CDC for identification. Infections with this organism may result in a spectrum of manifestations ranging from self-limiting cellulitis to fatal septicemia; most fatal infections have occurred in persons with a history of asplenia, alcoholism, or hematologic malignancy. In most (77%) cases, infection is preceded by a bite or other exposure to dogs. This report summarizes the investigation by the New Mexico Health and Environment departments and CDC of a fatal case of C. canimorsus infection in a resident of New Mexico. This case was initially misdiagnosed as human plague.
自1961年以来，已有200株犬咬二氧化碳嗜纤维菌（一种革兰氏阴性菌）的人类分离株被送往美国疾病控制与预防中心（CDC）进行鉴定。感染这种微生物可能导致一系列表现，从自限性蜂窝织炎到致命性败血症不等；大多数致命感染发生在有脾切除史、酗酒或血液系统恶性肿瘤病史的人群中。在大多数（77%）病例中，感染之前有被狗咬伤或其他与狗接触的情况。本报告总结了新墨西哥州卫生和环境部门以及美国疾病控制与预防中心对新墨西哥州一名居民发生的犬咬二氧化碳嗜纤维菌致命感染病例的调查情况。该病例最初被误诊为人感染鼠疫。
