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Medizinische Klinik

, Volume 105, Issue 10, pp 739–741 | Cite as

Letal verlaufende Capnocytophaga-canimorsus-Sepsis nach Hundebiss

  • Werner HandrickEmail author
  • Ilona Schwede
  • Ulf Steffens
KASUISTIK

Zusammenfassung

Ein 56-jähriger Mann wurde 8 Tage nach einem Hundebiss schwerkrank in eine Klinik eingewiesen. Er zeigte ein septisches Bild. Trotz aller intensivmedizinischen Maßnahmen kam es zum Exitus letalis. In der Blutkultur wurde Capnocytophaga canimorsus nachgewiesen. Diese Bakterien gehören zur normalen oralen Flora von Hunden und Katzen. Bei der Übertragung auf den Menschen durch Beißen, Lecken oder Kratzen kann es zu schweren Infektionen kommen. Oft handelt es sich dabei um Menschen mit besonderen Dispositionsfaktoren (Asplenie, Alkoholismus). Die Letalitätsrate der Capnocytophaga- canimorsus-Sepsis liegt bei 25–30%.

Schlüsselwörter:

Hundebiss Sepsis Capnocytophaga canimorsus 

Fatal Sepsis Due to Capnocytophaga Canimorsus After Dog Bite

Abstract

A 56-year-old man was bitten by a dog. 8 days later he was admitted to a hospital because of severe deterioration of his clinical situation. He developed the clinical picture of fulminant septsis. In spite of aggressive intensive care therapy the patient died 24 hours later. Capnocytophaga canimorsus was identified from initial blood cultures. This gram-negative rod is part of the normal oral flora of dogs and cats. It can be spread to humans by bites, licking or scratches and causes severe infections, especially in persons with special risk factors (splenectomy, alcoholism). The mortality rate in the published cases is 25–30%.

Key Words:

Dog bite Sepsis Capnocytophaga canimorsus 

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Copyright information

© Urban & Vogel, Muenchen 2010

Authors and Affiliations

  1. 1.Institut für Medizinische Diagnostik OderlandFrankfurt/OderGermany
  2. 2.Oder-Spree KrankenhausBeeskowGermany
  3. 3.Institut für Medizinische DiagnostikFrankfurt/OderGermany

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