MILAN FIALA, M.D.; HARRY BAUER, M.D.; MOJEEN KHALEELI, M.D.; ANTHONY GIORGIO, M.D.
To the editor: The report of Butler and associates (1) described bacteremia with an unidentified fastidious Gram-negative rod in 17 patients; 10 had a recent dog bite, and two died in renal failure with disseminated intravascular coagulation. In 1961, a patient died with a coagulopathy and renal cortical necrosis after a dog bite but without any organism being cultured (2). Because of the association with dog bites, Butler and associates have suggested that infection with the unidentified rod is zoonotic. We are reporting fatal sepsis with a Bacteroides species accompanied by coagulopathy and renal thrombotic microangiopathy after a dog bite.
FIALA M, BAUER H, KHALEELI M, GIORGIO A. Dog Bite, Bacteroides Infection, Coagulopathy, Renal Microangiopathy. Ann Intern Med. ;87:248–249. doi: 10.7326/0003-4819-87-2-248_2
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Published: Ann Intern Med. 1977;87(2):248-249.
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