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Infectious Disease Reports
Volume 11
Issue 3
10.4081/idr.2019.8272
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Infectious Disease Reports is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Capnocytophaga Bacteremia Precipitating Severe Thrombocytopenia and Preterm Labor in an Asplenic Host

by
Austin M. Hopkins
1,*,
Nerlyne Desravines
2,
Elizabeth M. Stringer
3,
Katelin Zahn
2,
Carolyn M. Webster
3,
Kayla Krajick
1 and
Neeta L. Vora
3
1
University of North Carolina School of Medicine, Chapel Hill, NC, USA
2
Department of Obstetrics & Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA
3
Division of Maternal Fetal Medicine, Department of Obstetrics & Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA
*
Author to whom correspondence should be addressed.
Infect. Dis. Rep. 2019, 11(3), 8272; https://doi.org/10.4081/idr.2019.8272
Submission received: 7 August 2019 / Revised: 23 October 2019 / Accepted: 28 October 2019 / Published: 5 December 2019

Abstract

Capnocytophaga species are gram-negative bacilli that inhabit mammalian oral surfaces and can cause opportunistic infection, especially in asplenic patients. The species Capnocytophaga canimorsus is particularly associated with dog bites and is known to cause endocarditis, meningitis, and sepsis in the general population. In pregnant patients, infections tied to Capnocytophaga species from human flora have been associated with preterm labor, chorioamnionitis, and neonatal septicemia. There is little known about the effects of zoonotically-acquired Capnocytophaga infection in pregnant patients. In this case report, we present a patient with Capnocytophaga bacteremia acquired after a dog bite associated with profound thrombocytopenia and preterm labor. Dog bites are common in the United States, and we present basic recommendations for management of dog bites in pregnant patients in order to avoid morbidity associated with delay in time to antibiotic treatment of infection as described in this case.
Keywords: capnocytophaga; thrombocytopenia; preterm labor capnocytophaga; thrombocytopenia; preterm labor

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MDPI and ACS Style

Hopkins, A.M.; Desravines, N.; Stringer, E.M.; Zahn, K.; Webster, C.M.; Krajick, K.; Vora, N.L. Capnocytophaga Bacteremia Precipitating Severe Thrombocytopenia and Preterm Labor in an Asplenic Host. Infect. Dis. Rep. 2019, 11, 8272. https://doi.org/10.4081/idr.2019.8272

AMA Style

Hopkins AM, Desravines N, Stringer EM, Zahn K, Webster CM, Krajick K, Vora NL. Capnocytophaga Bacteremia Precipitating Severe Thrombocytopenia and Preterm Labor in an Asplenic Host. Infectious Disease Reports. 2019; 11(3):8272. https://doi.org/10.4081/idr.2019.8272

Chicago/Turabian Style

Hopkins, Austin M., Nerlyne Desravines, Elizabeth M. Stringer, Katelin Zahn, Carolyn M. Webster, Kayla Krajick, and Neeta L. Vora. 2019. "Capnocytophaga Bacteremia Precipitating Severe Thrombocytopenia and Preterm Labor in an Asplenic Host" Infectious Disease Reports 11, no. 3: 8272. https://doi.org/10.4081/idr.2019.8272

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