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Compartment syndrome due to Capnocytophaga canimorsus infection: a case report
BACKGROUND: Purpura fulminans secondary to Capnocytophaga canimorsus (C. canimorsus) infection without a wound is rare and often misdiagnosed initially. We report a patient who died due to C. canimorsus bacteremia with purpura fulminans and acute compartment syndrome of all extremities. CARE PRESENT...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971439/ https://www.ncbi.nlm.nih.gov/pubmed/31988786 http://dx.doi.org/10.1002/ams2.474 |
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author | Igeta, Ryuhei Hsu, Hsiang‐Chin Suzuki, Michio Lefor, Alan T. Tsukuda, Jumpei Endo, Takuro Tanii, Rimi Taira, Yasuhiko Fujitani, Shigeki |
author_facet | Igeta, Ryuhei Hsu, Hsiang‐Chin Suzuki, Michio Lefor, Alan T. Tsukuda, Jumpei Endo, Takuro Tanii, Rimi Taira, Yasuhiko Fujitani, Shigeki |
author_sort | Igeta, Ryuhei |
collection | PubMed |
description | BACKGROUND: Purpura fulminans secondary to Capnocytophaga canimorsus (C. canimorsus) infection without a wound is rare and often misdiagnosed initially. We report a patient who died due to C. canimorsus bacteremia with purpura fulminans and acute compartment syndrome of all extremities. CARE PRESENTATION: A 38‐year‐old Japanese man with a history of alcoholism presented with a 2‐day history of gastroenteritis. The chief complaints were abdominal pain and diarrhea, and he had abdominal tenderness. Laboratory findings showed multiple organ failure. On day 2, pain in the lower extremities associated with motor and sensory dysfunction developed. On day 3, purpura on the whole body spread to all extremities. All four extremities became rigid, and acute compartment syndrome developed. The patient died due to uncontrolled hyperkalemia and lactic acidosis. CONCLUSIONS: Capnocytophaga canimorsus transmission can occur through licking or even close contact with animals when a risk factor of C. canimorsus infection, such as alcoholism, is present. |
format | Online Article Text |
id | pubmed-6971439 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-69714392020-01-27 Compartment syndrome due to Capnocytophaga canimorsus infection: a case report Igeta, Ryuhei Hsu, Hsiang‐Chin Suzuki, Michio Lefor, Alan T. Tsukuda, Jumpei Endo, Takuro Tanii, Rimi Taira, Yasuhiko Fujitani, Shigeki Acute Med Surg Case Reports BACKGROUND: Purpura fulminans secondary to Capnocytophaga canimorsus (C. canimorsus) infection without a wound is rare and often misdiagnosed initially. We report a patient who died due to C. canimorsus bacteremia with purpura fulminans and acute compartment syndrome of all extremities. CARE PRESENTATION: A 38‐year‐old Japanese man with a history of alcoholism presented with a 2‐day history of gastroenteritis. The chief complaints were abdominal pain and diarrhea, and he had abdominal tenderness. Laboratory findings showed multiple organ failure. On day 2, pain in the lower extremities associated with motor and sensory dysfunction developed. On day 3, purpura on the whole body spread to all extremities. All four extremities became rigid, and acute compartment syndrome developed. The patient died due to uncontrolled hyperkalemia and lactic acidosis. CONCLUSIONS: Capnocytophaga canimorsus transmission can occur through licking or even close contact with animals when a risk factor of C. canimorsus infection, such as alcoholism, is present. John Wiley and Sons Inc. 2020-01-01 /pmc/articles/PMC6971439/ /pubmed/31988786 http://dx.doi.org/10.1002/ams2.474 Text en © 2020 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Reports Igeta, Ryuhei Hsu, Hsiang‐Chin Suzuki, Michio Lefor, Alan T. Tsukuda, Jumpei Endo, Takuro Tanii, Rimi Taira, Yasuhiko Fujitani, Shigeki Compartment syndrome due to Capnocytophaga canimorsus infection: a case report |
title | Compartment syndrome due to Capnocytophaga canimorsus infection: a case report |
title_full | Compartment syndrome due to Capnocytophaga canimorsus infection: a case report |
title_fullStr | Compartment syndrome due to Capnocytophaga canimorsus infection: a case report |
title_full_unstemmed | Compartment syndrome due to Capnocytophaga canimorsus infection: a case report |
title_short | Compartment syndrome due to Capnocytophaga canimorsus infection: a case report |
title_sort | compartment syndrome due to capnocytophaga canimorsus infection: a case report |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971439/ https://www.ncbi.nlm.nih.gov/pubmed/31988786 http://dx.doi.org/10.1002/ams2.474 |
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