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Renal abscess with Capnocytophaga canimorsus infection from a dog bite.
Trainor-Moss, Santiago; Acquah, Rebecca Ruth; Peirse, Mary; Beadles, Wendy.
Afiliación
  • Trainor-Moss S; University of Aberdeen Medical School, Aberdeen, UK.
  • Acquah RR; Infectious Diseases Department, Raigmore Hospital, Inverness, UK rebecca.acquah2@nhs.scot.
  • Peirse M; Infectious Diseases Department, Raigmore Hospital, Inverness, UK.
  • Beadles W; Infectious Diseases Department, Raigmore Hospital, Inverness, UK.
BMJ Case Rep ; 15(12)2022 Dec 08.
Article en En | MEDLINE | ID: mdl-36593617
We present a case of renal abscess caused by Capnocytophaga canimorsus infection in a previously healthy middle-aged man. He presented with sepsis and an acute kidney injury, and although not identified on his initial assessment, he had sustained a dog bite 5 days prior to hospital admission. The patient developed left loin pain and imaging investigation revealed a renal abscess. Gram stain showed a gram-negative bacillus and C. canimorsus was identified by 16S PCR from these samples along with aspirate from the abscess. The patient responded to treatment with carbapenems but required a prolonged course. His clinical condition was further complicated by a pleural effusion and the development of fatigue symptoms consistent with a post-infection chronic fatigue syndrome. We present this case which we believe to be the first documented case of C. canimorsus causing renal abscess. We discuss the challenges relating to investigation, management and the importance of detailed diagnostic exposure histories in sepsis of unknown origin.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mordeduras y Picaduras / Infecciones por Bacterias Gramnegativas / Sepsis Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Animals / Humans / Male Idioma: En Revista: BMJ Case Rep Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mordeduras y Picaduras / Infecciones por Bacterias Gramnegativas / Sepsis Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Animals / Humans / Male Idioma: En Revista: BMJ Case Rep Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido