Abstract
Background
One Health is a biomedical approach that aims to optimize the health of humans, animals,
and the environment through interdisciplinary collaboration. Cellulitis is an infection
of the dermis and subcutaneous fat that may be caused by zoonotic streptococci species.
Case Report
We report a case of cellulitis caused by Streptococcus canis in a woman who was taking Etanercept. We frame the presentation within a One Health
approach and urge emergency physicians to collaborate with veterinarians in the management
of patients with zoonotic diseases who are discharged home.
Why Should an Emergency Physician Be Aware of This?
Pets are a source for zoonotic diseases, including resistant bacteria, that pose particular
risk to immunocompromised patients. Emergency physicians often discharge patients
with potential zoonotic infections such as cellulitis home without a long-term, holistic
care plan, according to a One Health approach. Physicians should then collaborate
with veterinarians in caring for humans and animals.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Tripartite Concept Note. Sharing responsibilities and coordinating global activities to address health risks at the animal-human-ecosystem interfaces.(Available at:)https://www.who.int/influenza/resources/documents/tripartite_concept_note_hanoi_042011_en.pdf?ua=1Date accessed: November 1, 2019
- Forward: clinical perspectives.in: Rabinowitz P.M. Conti L.A. Human-animal medicine clinical approaches to zoonoses, toxicants and other shared health risks. xvi. Saunders Elsevier, Maryland Heights, MO2010
- Operationalizing “one health”: a policy perspective—taking stock and shaping an implementation roadmap: meeting overview.(Available at:)http://www.cdc.gov/onehealth/pdf/atlanta/meeting-overview.pdfDate accessed: December 24, 2015
- One health—a narrative review. Ecology and Environment (Hebrew).2014: 6 (Available at:)http://www.magazine.isees.org.il/ArticlePage.aspx?ArticleId=478Date accessed: November 8, 2019
- Toward proof of concept of a one health approach to disease prediction and control.Emerg Infect Dis. 2013; 19: 12
- Incorporating one health into medical education.BMC Med Educ. 2017; 17: 45
- The ‘One Health’ paradigm: time for infectious diseases clinicians to take note?.Can J Infect Dis Med Microbiol. 2010; 21: 111-114
- One Health: a compelling convergence.Acad Med. 2013; 88: 49-55
- Zoobiquity: what animals can teach us about health and the science of healing.Alfred A. Knopf, New York2012
- Clinical one health: a novel healthcare solution for underserved communities.One Health. 2018; 6: 34-36
- Infections of the skin, muscles, and soft tissues.in: Kasper D.L. Hauser S.L. Jameson J.L. Harrison’s principles of internal medicine. 19th edn. II. McGraw Hill, New York2015
- Streptococcal infections.in: Kasper D.L. Hauser S.L. Jameson J.L. Harrison’s principles of internal medicine. 19th edn. II. McGraw Hill, New York2015
- The other group G Streptococcus: increased detection of Streptococcus canis ulcer infections in dog owners.J Clin Microbiol. 2007; 45: 2327-2329
- Streptococcus canis infections in humans: retrospective study of 54 patients.J Infect. 2007; 55: 23-26
- Draft genome sequence of zoonotic Streptococcus canis isolate G361.Genome Announc. 2017; 5
- Endocarditis caused by Streptococcus canis: an emerging zoonosis?.Infection. 2016; 44: 111-114
- Identification of isolates of Streptococcus canis infecting humans.J Clin Microbiol. 2001; 39: 4196-4199
- SCM, the M protein of Streptococcus canis binds immunoglobulin G.Front Cell Infect Microbiol. 2017; 7: 80
- Human case of bacteremia caused by Streptococcus canis sequence type 9 harboring the scm gene.IDCases. 2017; 7: 48-52
- Establishing a new approach to clinical health history.in: Rabinowitz P.M. Conti L.A. Human-animal medicine: clinical approaches to zoonoses, toxicants and other shared health risks. Saunders Elsevier, Philadelphia, PA2010
- Shared strategies to maximize human and animal health.in: Rabinowitz P.M. Conti L.A. Human-animal medicine: clinical approaches to zoonoses, toxicants and other shared health risks. Saunders Elsevier, Philadelphia, PA2010
- High rates of potentially infectious exposures between immunocompromised patients and their companion animals: an unmet need for education.Intern Med J. 2017; 47: 333-335
- Knowledge, attitudes, and practices related to pet contact by immunocompromised children with cancer and immunocompetent children with diabetes.J Pediatr. 2014; 165: 348-355.e2
- Guidelines for preventing infectious complications among hematopoietic cell transplantation recipients: a global perspective.Biol Blood Marrow Transplant. 2009; 15: 1143-1238
- One health in practice: a pilot project for integrated care of zoonotic infections in immunocompromised children and their pets in Chile.Zoonoses Public Health. 2016; 63: 403-409
Article info
Publication history
Published online: December 02, 2019
Accepted:
October 13,
2019
Received in revised form:
October 11,
2019
Received:
August 23,
2019
Footnotes
Reprints are not available from the authors.
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
