A fatal septic shock caused by Capnocytophaga gingivalis potentially associated with COVID-19: A case report

IF 1.5 Q2 MEDICINE, GENERAL & INTERNAL Acute Medicine & Surgery Pub Date : 2024-01-09 DOI:10.1002/ams2.922

Dai Miyazaki, Chika Kunishige, Shigeru Sano, Kahoru Urakawa, Kana Okamoto, Naomi Morishita, Kentaro Iwata

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Abstract

Background

Capnocytophaga spp. is associated with fulminant sepsis, particularly in those with immunosuppression. We here report a rare case of fatal fulminant septic shock caused by C. gingivalis, concurrent with COVID-19.

Case Presentation

A Japanese woman developed septic shock, which led to her death. Polymerase chain reaction (PCR) testing of the respiratory specimen was positive for SARS-CoV-2, and a CT scan of the chests revealed bilateral ground glass opacities. The blood cultures identified C. gingivalis. The patient had rheumatoid arthritis and was taking prednisone orally. There were no splenic abnormalities shown on the CT scan.

Conclusion

A rare case of fulminant septic shock caused by C. gingivalis, together with COVID-19 was identified. The precise pathogenesis of this combination, together with the best treatment option should be sought by further studies.

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可能与 COVID-19 相关的牙龈帽状嗜细胞菌引起的致命脓毒性休克：病例报告

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来源期刊

Acute Medicine & Surgery MEDICINE, GENERAL & INTERNAL-

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12.50%

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审稿时长

53 weeks