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Index finger of the patient showing a wound from a dog bite without cellulitis and erythema.
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At the time of admission, the patient was found to have a bite wound from the family dog with no signs of cellulitis or erythema (Fig. 1).
Chest simple computed tomography at the time of admission (A) and after transfer to ICU (B).
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Chest computer tomography (CT) revealed ground-glass opacity with consolidation in the subpleural regions of the bilateral lower lobes (Fig. 2A). Repeat CT showed progression of consolidations in the bilateral middle and lower lobes (Fig. 2B) and with the development of acute respiratory distress syndrome (ARDS), he underwent mechanical ventilation.
Microscopic images of Giemsa staining of the peripheral blood smear from the patient, which show some slender rods in the cytoplasm of the neutrophils.
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After his expiration, we found multiple rods within the cytoplasm of neutrophils, which was consistent with previous reports of C. canimorsus infection (Fig. 3).