Surprising Face of Capnocytophaga canimorsus Septicaemia
Report:
Sinus rhythm 90/min
Acute anterolateral infarction
Comment:
The patient had a clinically obvious septic shock. The organism was Capnocytophaga canimorsus, a rare cause of systemic sepsis (dogsâ teeth being cleaner than human) distinguished by its tendency to mime myocardial infarction on ECGs. Troponin level was over 100 µ/L.
Although it was recognised by the ICU staff for what it was, an outside consultant Cardiologist did an angiogram after the patient recovered (thatâs what type A Cardiologists do). Unsurprisingly, it showed normal ventricle and normal coronary tree; on the plus side, it helped us with the case report43.
The ECG almost completely normalised within 6 hours (below, Fig 55a).
55a. Leads 1 and aVL are still slightly abnormal, the other leads normalised.
56. 39 year old man with chest pain.
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