A 62-year-old asplenic man presents with fever and Thrombocytopenia after a dog bite. Explore the life-threatening cause of his sepsis.
A 62-year-old man presented to the emergency department with a 1-day history of fever and 3-day history of chest pain. He had a history of coronary artery disease and splenectomy. On examination, he had three dog-bite wounds on his left hand. Laboratory studies revealed a white-cell count of 16,700 per cubic millimeter (reference range, 3900 to 10,200) and a platelet count of 3100 per cubic millimeter (reference range, 15,000 to 37,000). Review of a peripheral-blood smear was as shown. What is the etiology of his illness?
What is the most likely diagnosis?
Asplenia, Capnocytophaga canimorsus, Dog Bite, Sepsis, Thrombocytopenia
