Abstract
We report a case of asplenic fulminant sepsis in Australia following a dog bite which was complicated by toxic epidermal necrolysis/Stevens-Johnson syndrome (TENS/SJS). Capnocytophaga canimorsus, the infective organism, is a rare cause of septicaemia: a high degree of suspicion of this unusual organism and its early aggressive management is paramount. The diagnostic and management difficulties of TENS/SJS in the context of a patient with fulminant sepsis, DIC and on inotropes are also highlighted.
MeSH terms
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Animals
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Bites and Stings / complications*
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Capnocytophaga*
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Disseminated Intravascular Coagulation / etiology
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Disseminated Intravascular Coagulation / microbiology
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Disseminated Intravascular Coagulation / therapy
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Dogs*
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Fatal Outcome
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Female
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Gangrene / etiology
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Gangrene / microbiology
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Gangrene / therapy
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Gram-Negative Bacterial Infections / etiology*
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Gram-Negative Bacterial Infections / therapy
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Humans
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Immunocompromised Host
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Middle Aged
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Multiple Organ Failure / etiology
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Multiple Organ Failure / microbiology
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Multiple Organ Failure / therapy
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Sepsis / etiology
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Sepsis / microbiology*
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Sepsis / therapy
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Splenectomy / adverse effects
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Stevens-Johnson Syndrome / etiology
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Stevens-Johnson Syndrome / microbiology*
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Stevens-Johnson Syndrome / therapy