it perplexed doctors for four days, until a blood test revealed he had capnocytophaga canimorsus, a common bacteria found in the mouths of healthy dogs and cats. he had been licked, not bitten, by his dog in the previous weeks.
published in the european journal of internal medicine, the case study describes the effects of his dog’s lick. he continued to show signs of systemic infection after 10 days of antibiotic treatment, and a ct scan showed that blood flow supply to his spleen and brain was completely compromised and his extremities had become affected with gangrene. his relatives decided to de-escalate therapy and he died after 16 days of treatment.
while c. canimorsus is common in household pets, cases of it in humans are extremely rare. a national study in the netherlands found the incidence rate was 0.67 infections per million per year. for patients with immunodeficiency, splenectomy, or alcohol abuse, it’s more likely to be severe or even fatal. however, in this case, the patient had none of the above.
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in 2013, a 49-year-old woman from ottawa became infected with c. canimorsus after one of her pet dogs bit her hand and her other dogs licked her hand. she went into septic shock, which cut the blood flow to her extremities. she eventually needed to have both legs as well as her left arm amputated.
health canada estimates that since 1976, approximately 200 human cases of c. canimorsus infection have been reported worldwide.