Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Igeta, Ryuhei, Hsu, Hsiang‐Chin, Suzuki, Michio, Lefor, Alan T., Tsukuda, Jumpei, Endo, Takuro, Tanii, Rimi, Taira, Yasuhiko, Fujitani, Shigeki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
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
_version_ 1783489726419828736
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
work_keys_str_mv AT igetaryuhei compartmentsyndromeduetocapnocytophagacanimorsusinfectionacasereport
AT hsuhsiangchin compartmentsyndromeduetocapnocytophagacanimorsusinfectionacasereport
AT suzukimichio compartmentsyndromeduetocapnocytophagacanimorsusinfectionacasereport
AT leforalant compartmentsyndromeduetocapnocytophagacanimorsusinfectionacasereport
AT tsukudajumpei compartmentsyndromeduetocapnocytophagacanimorsusinfectionacasereport
AT endotakuro compartmentsyndromeduetocapnocytophagacanimorsusinfectionacasereport
AT taniirimi compartmentsyndromeduetocapnocytophagacanimorsusinfectionacasereport
AT tairayasuhiko compartmentsyndromeduetocapnocytophagacanimorsusinfectionacasereport
AT fujitanishigeki compartmentsyndromeduetocapnocytophagacanimorsusinfectionacasereport