The DOI matches its Crossref record.
Being Licked by a Dog Can Be Fatal: Capnocytophaga canimorsus Sepsis with Purpura Fulminans in an Immunocompetent Man
Open accessAbstract
Bite infections caused by Capnocytophaga canimorsus are rare. Severe and fatal infections are more frequently reported in patients with immunodeficiency, splenectomy or alcohol abuse. We describe the case of a 63-year-old man who developed flu-like symptoms and presented after some delay with severe sepsis and purpura fulminans. He was found to be infected with C. canimorsus without a bite injury and did not demonstrate immunodeficiency or any other typical predisposition. Despite extensive intensive care, his conditions deteriorated and he died from multiorgan failure.
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“Even immunocompetent persons who have been licked by a dog can develop fatal sepsis [163].”
From A One Health Perspective on the Human-Companion Animal Relationship with Emphasis on Zoonotic Aspects. (2020) · cites this paper as [163]
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Research works printed but not linked: 8
- [1]Hore C Important unusual infections in Australia: a critical care perspective Crit Care Resusc 2001 3 262 272 16573516
- [2]Janda JM Graves MH Lindquist D Probert WS Diagnosing Capnocytophaga canimorsus infections Emerg Infect Dis 2006 12 340 342 16494769 PMC3373098
- [3]Butler T Capnocytophaga canimorsus: an emerging cause of sepsis, meningitis, and post-splenectomy infection after dog bites Eur J Clin Microbiol Infect Dis 2015 34 1271 1280 25828064
- [4]Mantovani E Busani S Biagioni E Venturelli C Serio L Girardis M Purpura fulminans and septic shock due to Capnocytophaga canimorsus after dog bite: a case report and review of the literature Case Rep Crit Care 2018 2018 7090268 PMC6129343 30225149
- [5]Pers C Gahrn-Hansen B Frederiksen W Capnocytophaga canimorsus septicemia in Denmark, 1982–1995: review of 39 cases Clin Infect Dis 1996 23 71 75 8816132
- [6]Smeets NJ Fijnheer R Sebastian S De Mast Q Secondary thrombotic microangiopathy with severely reduced ADAMTS13 activity in a patient with Capnocytophaga canimorsus sepsis Transfusion 2018 58 2426 2429 30222856
- [7]Vignon G Combeau P Violette J Cognée AS Méglio S Carrère F A fatal septic shock due to Capnocytophaga canimorsus and review of literature Rev Med Interne 2018 39 820 823 29706238
- [8]Colling ME Bendapudi PK Purpura fulminans: mechanism and management of dysregulated hemostasis Transfus Med Rev 2018 32 69 76 29157918
Cited by
Overgaauw, P. A. M., Vinke, C. M., van Hagen, M. A. E., & Lipman, L. J. A. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17113789 · Cited by 301
“Even immunocompetent persons who have been licked by a dog can develop fatal sepsis [163].”
Background
Metadata
- Authors
- Mader, N., Lührs, F., Herget-Rosenthal, S., & Langenbeck, M.
- Affiliations
- Department of Medicine, Rotes Kreuz Krankenhaus, Bremen, Germany
- Department of Emergency and Intensive Care Medicine, Rotes Kreuz Krankenhaus, Bremen, Germany
- Corresponding author
- Mader, Naomi
- Venue
- European Journal of Case Reports in Internal Medicine
- Publisher
- SMC Media
- Published
- 2019-10-09
- Volume
- 6
- Issue
- 10
- Pages
- 1
- ISSN
- 2284-2594 (ISSN-L)
- PMC
- PMC6822668
- OpenAlex
- W2979943366
- Cited by
- 17
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 4 · 2022: 6 · 2021: 2 · 2020: 1 · 2019: 1
- FWCI
- 1.63
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- European Journal of Case Reports in Internal Medicine (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- CNR Solar (Scientific Open-access Literature Archive and Repository) (Consiglio Nazionale delle Ricerche) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Microbiology (medical) › Infections and bacterial resistance
- Life Sciences › Immunology and Microbiology › Microbiology › Microbial infections and disease research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Infective Endocarditis Diagnosis and Management
- Keywords
- Capnocytophaga canimorsus, sepsis, purpura fulminans, dog bite infection, immunocompetent patient, multiple organ failure, zoonoses
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Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.

