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Published on: June 15, 2019
Capnocytophaga sepsis causing purpura fulminans in a 50-year-old man with chronic opioid use
Christopher Hogge1, Miriam Holzman1, Sahiba Khurana1
1Department of Medicine, Division of Infectious Diseases, Rutgers New Jersey Medical School, Newark, NJ 07103, USA.
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.
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