Capnocytophaga sepsis causing purpura fulminans in a 50-year-old man with chronic opioid use.

Capnocytophaga 败血症导致一名 50 岁长期使用阿片类药物的男性紫癜暴发性。

• 发表时间: 2022
• 来源期刊: IDCases
• DOI: 10.1016/j.idcr.2022.e01505
• PMID: 35663605
• 文章类型: Case Reports
• 作者列表: Hogge C,Holzman M,Khurana S,Brankovic M,Chang C,Fernandez G,Finkel D

关键词: Capnocytophaga; Chronic opioid use; Polymicrobial sepsis; Purpura fulminans

Abstract

We present a case of polymicrobial sepsis with Capnocytophaga spp. complicated by purpura fulminans following a dog-bite in a 50-year-old-man with an extensive history of opioid use disorder. Generally, severe Capnocytophaga cases are thought to occur in patients with underlying immune deficiencies. However, this case highlights the importance of maintaining clinical suspicion for Capnocytophaga infection in immunocompetent patients, and we discuss the role of chronic opioid-use in severe infection.

摘要

我们介绍了一例Capnocytophaga的多微生物败血症。一名患有阿片类药物使用障碍病史的50岁男子被狗咬伤后并发紫癜。一般来说,严重的Capnocytophaga病例被认为发生在具有潜在免疫缺陷的患者中。然而,该病例强调了在免疫功能正常的患者中保持临床怀疑Capnocytophaga感染的重要性，我们讨论了慢性使用阿片类药物在严重感染中的作用。