Subject(s)
Bacteremia/microbiology , Chromatiaceae/isolation & purification , Gram-Negative Bacterial Infections/microbiology , Skin/microbiology , Wound Infection/microbiology , Aged, 80 and over , Amoxicillin-Potassium Clavulanate Combination/therapeutic use , Anti-Bacterial Agents/therapeutic use , Chromatiaceae/pathogenicity , Female , Gram-Negative Bacterial Infections/drug therapy , Humans , Leg Injuries/etiology , Leg Injuries/microbiology , Rubus , Skin/injuries , Soil Microbiology , Wound Infection/drug therapyABSTRACT
INTRODUCTION: Capnocytophaga canimorsus is a Gram-negative bacterium present in normal dogs and cats mouths. It can be responsible for septic shocks after dog or cat bite, especially in asplenic patients. CASE REPORT: We report here a case of C. canimorsus infection rapidly presenting as a multiple organ dysfonction syndrome in an immunocompetent 54 years old patient, who lives near a dog, without any sign of bite. The evolution was a rapidly fatal fulminant septic shock. CONCLUSION: Among patients with a septic shock of unknown etiology, fatal evolution due to C. canimorsus should be avoided by systematic use of early antibiotherapy with amoxicilline and clavulanic acid, especially in patients who live near a pet, even if they are immunocompetent.
Subject(s)
Capnocytophaga/physiology , Gram-Negative Bacterial Infections/complications , Shock, Septic/microbiology , Animals , Capnocytophaga/isolation & purification , Dogs , Fatal Outcome , Humans , Male , Middle Aged , Shock, Septic/diagnosis , Zoonoses/diagnosis , Zoonoses/microbiologyABSTRACT
Studies of the immediate verbal imitations (IVIs) of subjects with echolalia report that features of linguistic or social input alone affect the number of IVIs elicited. This experimental study of a child with echolalia and autism controlled each of these variables while introducing a systematic change in the other. The subject produced more (p less than .05) IVIs in response to unknown lexical words presented with a high degree of directiveness (Condition D) than in response to three other conditions of stimulus presentation (e.g., unknown lexical words, minimally directive style.) Thus, an interaction between the effects of linguistic and social input was demonstrated. IVIs were produced across all conditions, primarily during first presentations of lexical stimuli. Only the IVIs elicited by first presentations of the lexical stimuli during Condition D differed significantly (p less than .05) from the number of IVIs elicited by first presentations of lexical stimuli in other conditions. These findings viewed together suggest that the occurrence of IVIs was related, at least for this child, to an uncertain or informative event and that this response was significantly greater when the lexical stimuli were unknown and presented in a highly directive style.
