Bilateral acute renal cortical necrosis after a dog bite: case report.
Simon Adrian AmacherKirstine K SøgaardCoralie NkoulouRaoul SutterMaja WeisserSandra S ZinggAdrian EgliAlexa HollingerMartin SiegemundPublished in: BMC infectious diseases (2021)
We present a severe case of a C. canimorsus infection in a functionally asplenic patient after a minor dog bite. The clinical course was complicated by septic shock, disseminated intravascular coagulation, and the need for multiple amputations. In addition, the rare form of acute renal failure - bilateral acute renal cortical necrosis - was visible as "reverse rim sign" on computed tomography scan. This case is an example of the potential disastrous consequences when omitting pre-emptive antibiotic therapy in wounds inflicted by cats and dogs, particularly in asplenic patients.
Keyphrases
- case report
- liver failure
- computed tomography
- respiratory failure
- drug induced
- septic shock
- aortic dissection
- end stage renal disease
- ejection fraction
- magnetic resonance imaging
- chronic kidney disease
- positron emission tomography
- coronary artery
- hepatitis b virus
- prognostic factors
- peritoneal dialysis
- mesenchymal stem cells
- contrast enhanced
- mechanical ventilation
- cell therapy
- image quality