NEJM: Dog bites CO2 infection - case reported.

The patient, a 62-year-old man, was treated in the emergency department for one day of fever and three days of chest pain.
he had a history of coronary heart disease and spleen excision after a car accident.
four days before his visit, he was bitten by a dog and had three wounds.
laboratory examination found that the white blood cell count was 16,700 per cubic millimeter (reference range is 3900 to 10,200), plateplate count was 3100 per cubic millimeter (reference range was 15,000 to 37,000), and the calcitonin level exceeded 100 mg/L (reference value of 0.05).
get blood cultures and start using broad-spectrum antibiotics, intravenous fluids and epinephrine therapy.
blood smear examination found bacteria in and outside the cell (arrow mark).
after 17 hours of training to get dog bites of carbon dioxide bacteria.
canine bite carbon dioxide bacteria is a healthy component of the cat and dog oral bacteria, can be transmitted to humans through animal bites.
bacteria can cause particularly serious infections in patients with a history of spleen removal.
the patient died two days after being admitted to hospital, despite receiving treatment.
this is a zoonotic disease, related knowledge see: zoonotic disease knowledge, how much do you know?