Special Considerations | Mammalian Bites In The Emergency Department: Recommendations For Wound Closure, Antibiotics, And Postexposure Prophylaxis

<< Mammalian Bites in the Emergency Department: Recommendations for Wound Closure, Antibiotics, and Postexposure Prophylaxis (Trauma CME and Pharmacology CME)

Special Considerations

Capnocytophaga canimorsus Infection

An increasing concern is infection with Capnocytophaga canimorsus, which is transmitted primarily through dog bites.77 Predisposing factors include a history of splenectomy, hyposplenism, and alcoholism, but cases have been reported in immunocompetent individuals as well.77 The clinical presentation commonly includes severe sepsis/septic shock with multiorgan failure, gangrene of the extremities, meningitis, and dermatologic lesions, such as purpura.

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