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DF-2 septicemia following whirlpool spa immersion
Journal of Clinical Microbiology
|March 1, 1986
Summary
A man with no spleen developed DF-2 bacteremia and septic shock after using a whirlpool. This highlights the risk of infection from contaminated water, especially for asplenic individuals.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- Individuals without a spleen (asplenic) are at increased risk for severe infections.
- DF-2 is an opportunistic bacterium, often associated with dogs, that can cause severe illness.
Observation:
- A 31-year-old asplenic male presented with DF-2 bacteremia, septic shock, and pneumonia.
- The patient had recent recreational immersion in a whirlpool spa.
- No direct contact with canine secretions or history of dog bite was reported, though he owned dogs.
Findings:
- DF-2 bacteremia was confirmed in the patient.
- The whirlpool spa water tested negative for DF-2, suggesting an unknown source or transient contamination.
- The case illustrates a potential non-oral transmission route for DF-2 infection.
Implications:
- This case underscores the potential for serious infections from recreational water exposure in asplenic individuals.
- It highlights the need for increased awareness of DF-2 risks and potential environmental reservoirs.
- Further investigation into environmental contamination and transmission of DF-2 may be warranted.
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