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CASE REPORT
A dog’s dinner: an interesting case presenting as gastroenteritis
  1. Caroline Elliott1,2,
  2. John-Patrick Byars1,
  3. Barbara Weinhardt1 and
  4. Kamaljit Khalsa1
  1. 1 Glasgow Royal Infirmary, Glasgow, UK
  2. 2 Medicine for the Elderly, Royal Victoria Hospital, Dundee, Angus, Scotland
  1. Correspondence to Dr Caroline Elliott, caroline.elliott7{at}nhs.net

Abstract

We report a case of a 60-year-old Caucasian man with a history of alcohol excess who presented to the emergency department with a 72-hour history of abdominal pain, profuse diarrhoea and vomiting. He was admitted to the intensive care unit (ICU) 12 hours later in extremis with severe sepsis and multiorgan failure. Collateral history from the patient on admission to ICU identified that he had been bitten by a dog 3 days prior to his symptom onset. Provisional microscopy and Gram staining from peripheral blood cultures taken on admission revealed the presence of long, thin Gram-negative bacilli in the anaerobic bottle only. This was later identified as Capnocytophaga canimorsus. The patient survived the septic episode and was discharged to level 2 care 9 days later under the care of the renal physicians for ongoing renal dialysis.

  • infectious diseases
  • intensive care

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Footnotes

  • Contributors Study conception and design: CE, BW, KK. Acquisition of data: CE, J-PB. Analysis and interpretation of data: CE, J-PB, BW. Drafting of manuscript: CE, J-PB, BW, KK. Critical revision: CE, J-PB, BW, KK. Final approval of version for submission: CE, J-PB, BW.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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