Capnocytophaga sepsis causing purpura fulminans in a 50-year-old man with chronic opioid use

We present a case of polymicrobial sepsis with Capnocytophaga spp. complicated by purpura fulminans following a dog-bite in a 50-year-old-man with an extensive history of opioid use disorder. Generally, severe Capnocytophaga cases are thought to occur in patients with underlying immune deficiencies....

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Detalles Bibliográficos
Autores principales: Hogge, Christopher, Holzman, Miriam, Khurana, Sahiba, Brankovic, Milos, Chang, Chrystal, Fernandez, Gabriel, Finkel, Diana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9157452/
https://www.ncbi.nlm.nih.gov/pubmed/35663605
http://dx.doi.org/10.1016/j.idcr.2022.e01505
Descripción
Sumario:We present a case of polymicrobial sepsis with Capnocytophaga spp. complicated by purpura fulminans following a dog-bite in a 50-year-old-man with an extensive history of opioid use disorder. Generally, severe Capnocytophaga cases are thought to occur in patients with underlying immune deficiencies. However, this case highlights the importance of maintaining clinical suspicion for Capnocytophaga infection in immunocompetent patients, and we discuss the role of chronic opioid-use in severe infection.

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