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Dysgonic fermenter-2 septicemia.

M J Waters, L Stern, J H Andrew

    Pathology
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    A rare Gram-negative bacterium, Dysgonic Fermenter-2 (DF-2), caused severe septicemia in a splenectomized man following a dog bite. This case highlights DF-2 as a potential pathogen in Australia, linked to dog bites and splenectomy.

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    Area of Science:

    • Medical Microbiology
    • Infectious Diseases
    • Bacteriology

    Background:

    • Splenectomy compromises immune function, increasing susceptibility to encapsulated bacteria and other pathogens.
    • Dog bites are a known risk factor for various bacterial infections.
    • Dysgonic Fermenter-2 (DF-2) is a group of Gram-negative bacteria not previously reported in Australia.

    Observation:

    • A 62-year-old man with a history of splenectomy and a recent dog bite presented with septicemia.
    • Clinical signs included fever, hypotension, symmetrical peripheral gangrene, and consumptive coagulopathy, suggestive of a generalized Shwartzman reaction.
    • The causative agent was identified as Dysgonic Fermenter-2 (DF-2).

    Findings:

    • This case represents the first documented instance of Dysgonic Fermenter-2 infection in Australia.

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  • The patient's presentation mimicked a generalized Shwartzman reaction.
  • Laboratory findings indicated a consumptive coagulopathy.

    • Implications:

    • Splenectomy and dog bites are identified as significant predisposing factors for severe DF-2 infections.
    • This finding necessitates increased awareness of DF-2 as a potential pathogen in immunocompromised individuals and following animal bites.
    • Further research into DF-2 epidemiology and pathogenesis is warranted, particularly in regions where it is newly identified.