Author/Editor		Gorišek, Nina; Trampuž, Andrej
Title		Capnocytophaga canimorsus - neobičajna povzročiteljica septičnega šoka pri bolniku brez vranice
Translated title		Capnocytophaga canimorsus - an unusual cause of septic shock in a patient without a spleen
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 41, št. 4
Publication year		2002
Volume		str. 337-43
Language		slo
Abstract		The paper describes the case of a 28-year-old patient without a spleen in whom high fever, vomiting, abdominal cramps, palpable purpura and peripheral cyanosis suddenly developed. Upon admission, he was in septic shock with multi-organ failure. He needed intubation, artificial ventilation and hemodynamic support. Blood culture samples grew gram-negative rods after four days of incubation, which were later identified as Capnocytophaga Canimorsus. In continuation, the differential diagnosis in patients without a spleen who suddenly develop a septic shock is discussed. The importance bf taking an exact exposure history to find the correct diagnosis is emphasized, including possible contacts with domestic animals.
Summary		Opisan je primer 28-letnega moškega brez vranice, ki je nenadoma zbolel z visoko vročino, bruhanjem, krči v trebuhu, purpuro in periferno cianozo. Ob sprejemu je bil v septičnem šoku z odpovedjo več organov. Bolnik je potreboval intubacijo, umetno predihavanje in hemodinamsko podporo. V krvnih kulturah so po štirih dneh inkubacije porasli po Gramu negativni bacili, ki smo jih kasneje identificirali kot Capnocytophaga canimorsus. V nadaljevanju je opisana diferencialna diagnoza pri bolnikih brez vranice, ki nenadoma zbolijo s septičnim šokom. Poudarjen je pomen natančnih podatkov o dejavnikih iz okolja pri postavitvi pravilne diagnoze, vključno z možnimi stiki z domačimi živalmi.
Descriptors		SPLENIC RUPTURE SPLENECTOMY SHOCK, SEPTIC CAPNOCYTOPHAGA ADULT