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Case Report
Saprophyticus bacteria: Cause of fulminant and lethal sepsis?
1 MD, Intensive Care Department, Hospital Regional Universitario de Málaga, Málaga, Spain
2 Emergency Department, MD Hospital Regional Universitario de Málaga, Málaga, Spain
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Juan Francisco Martínez Carmona
MD, Intensive Care Department, Hospital Regional Universitario de Málaga, Málaga, Spain, Av Carlos Haya S/N 29010, Málaga,
Spain
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Article ID: 100002Z16JC2018
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Martínez-Carmona JF, Ariza-González M, Hijano-Muñoz FA, Aragón-González C. Saprophyticus bacteria: Cause of fulminant and lethal sepsis? J Case Rep Images Infect Dis 2018;1:100002Z16JC2018.ABSTRACT
Introduction: Sepsis continues to be a clinical presentation with high morbidity and mortality. The severity depends on the causal agent and the population which is affected. Below, we describe a case of septic shock in a immunocompromised patient, which trigger a multiple organ failure in a few hours, and finally, it caused her death. Splenectomized patients are at higher infection risk for less common pathogens.
Case Report: Our patient is a 47-year-old, splenectomized woman who developing a clinical presentation of septic shock with purpura fulminant and disseminated intravascular coagulation caused by Capnocytophaga Canimorsus, a Gramnegative bacteria that lives in the mouths of cats and dogs. The infection is associated with bites, scratches and contact with secretions.
Conclusion: Splenectomized patients are at increased risk of infections from less common microorganisms. In this case, we are facing with a very serious pathology that can trigger multiple organ failure and the death of the patient in a few hours, we must suspect it in patients at risk. The best treatment is preventive therapy, which can improve the survival rate of these patients.
Keywords: Capnocytophaga canimorsus, Purpura fulminant, Splenectomized
SUPPORTING INFORMATION
Author Contributions
Juan Francisco Martínez Carmona - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Marta Ariza González - Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Fidel Alberto Hijano Muñoz - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
César Aragón Gonzále - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case report.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 Juan Francisco Martínez Carmona et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
