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Letal verlaufende Capnocytophaga-canimorsus-Sepsis nach Hundebiss

Fatal Sepsis Due to Capnocytophaga Canimorsus After Dog Bite

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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%.

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%.

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Authors and Affiliations

  1. Institut für Medizinische Diagnostik Oderland, Frankfurt/Oder, Germany

    Werner Handrick & Ilona Schwede

  2. Oder-Spree Krankenhaus, Beeskow, Germany

    Ulf Steffens

  3. Institut für Medizinische Diagnostik, Am Kleistpark 1, 15230, Frankfurt/Oder, Germany

    Werner Handrick

Authors
  1. Werner Handrick
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  2. Ilona Schwede
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  3. Ulf Steffens
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Correspondence to Werner Handrick.

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Handrick, W., Schwede, I. & Steffens, U. Letal verlaufende Capnocytophaga-canimorsus-Sepsis nach Hundebiss. Med Klin 105, 739–741 (2010). https://doi.org/10.1007/s00063-010-1126-5

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  • DOI: https://doi.org/10.1007/s00063-010-1126-5

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