Bacteremia Precipitating Severe Thrombocytopenia and Preterm Labor in an Asplenic Host
Overview
Authors
Affiliations
species are gram-negative bacilli that inhabit mammalian oral surfaces and can cause opportunistic infection, especially in asplenic patients. The species is particularly associated with dog bites and is known to cause endocarditis, meningitis, and sepsis in the general population. In pregnant patients, infections tied to species from human flora have been associated with preterm labor, chorioamnionitis, and neonatal septicemia. There is little known about the effects of zoonotically-acquired infection in pregnant patients. In this case report, we present a patient with bacteremia acquired after a dog bite associated with profound thrombocytopenia and preterm labor. Dog bites are common in the United States, and we present basic recommendations for management of dog bites in pregnant patients in order to avoid morbidity associated with delay in time to antibiotic treatment of infection as described in this case.
Duncan M, Ahuja M, Khan M, Iqbal H IDCases. 2023; 32:e01808.
PMID: 37273844 PMC: 10238923. DOI: 10.1016/j.idcr.2023.e01808.
Sardo S, Pes C, Corona A, Laconi G, Crociani C, Caddori P J Public Health Res. 2022; 11(4):22799036221133234.
PMID: 36451937 PMC: 9703562. DOI: 10.1177/22799036221133234.
Lethal Waterhouse-Friderichsen syndrome caused by Capnocytophaga canimorsus in an asplenic patient.
Schuler F, Padberg J, Hullermann C, Kumpers P, Lepper J, Schulte M BMC Infect Dis. 2022; 22(1):696.
PMID: 35978295 PMC: 9382606. DOI: 10.1186/s12879-022-07590-1.