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A few days after returning home after a tropical vacation, Marie Trainer began to experience severe back pain and nausea, forcing her to seek work.
Then his temperature went up and dropped, sending him to an emergency room in Stark County, Ohio, in the early hours of May 11th.
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When Trainer woke up in a hospital bed nine days later, his hands and legs had been amputated.
It took doctors seven days to discover that the trainer was exposed to a serious infection, not due to a "tropical" travel sickness as they had initially suspected, but to the kisses of her German shepherd.
The trainer contracted a rare infection caused by the bacteria capnocytophaga canimorsus, probably when his German shepherd puppy, Taylor, licked an open wound.
Dr. Margaret Kobe, Medical Director of Infectious Diseases at Aultman Hospital in Canton, Ohio, treated her trainer and described her as "delusional" when she went into Intensive care unit.
Not long after, she became unconscious.
His skin began to change rapidly to a purplish red color, and then evolved into gangrene. The trainer then developed a blood clot.
"It was difficult to identify, we are sort of detectives, we looked at all of these diagnoses until we could reduce things," Kobe said.
The infection has spread to the tip of his nose, ears, legs and face.
"She did not lose parts of her face, but it's at her extremities that she had to undergo surgery," Kobe said.
& # 39; She was close to death & # 39;
The family asked for a second opinion in the hope of saving the trainer members.
But the doctors said the damage was already done.
Blood tests and cultures confirmed the diagnosis of capnocytophaga.
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"It was a pretty hard pill for all of us to swallow, to say that she was fine a few days ago on vacation and that she is actively growing moment by moment and that her hands and feet are no longer alive, as if it did not happen, we are in 2019, "said Gina Premier, daughter of her daughter-in-law and nurse at Aultman Hospital.
The trainer has had eight surgeries up to now and is collaborating with doctors for fitting prostheses.
"It's out of scale, one of the worst cases we've seen in terms of infection by sick people," Kobe said.
"She was close to death."
A rare cause of disease in humans
Marie Trainer says she knows that her German Shepherd puppy licked a slightly infected scratch.
According to the US Centers for Disease Control and Prevention, bacteria spread through bites, scratches or any other close contact with dogs and cats.
Most people in contact with dogs and cats do not get sick and it is rare that Capnocytophaga causes the disease in humans.
Those most at risk are people with weakened immune systems, such as cancer patients and people whose spleen has been removed, said the CDC.
Those who become ill may have symptoms after three to five days, although some may show signs sooner or later, says the CDC.
In rare cases, patients may develop sepsis.
According to CDC statistics, about 3 in 10 people developing a serious infection die.
Cases of Capnocytophaga have been detected in up to 74% of dogs, according to the CDC.
Animals can be tested for this, but these results may change, according to the CDC.
Capnocytophaga is not on the list of notifiable diseases of the CDC, and experts say that it is difficult to accurately determine how rare these infections are.
A 2015 report revealed fewer than 500 laboratory-confirmed cases that had been reported since 1961, although the bacterium was not officially designated as a new species until 1989.
"I'm so ready to move on"
Mary and Matthew Trainer have two dogs and she says she has no intention of separating them.
She asked her doctors if she could see her dogs again during her healing process.
Puppies have come twice to Aultman Hospital.
"They brought them here twice to the hospital so I can see them and that gives me the biggest smile," she said.
Marie Trainer has a lounge with her husband at a local bar.
They love riding motorcycles.
Now, their community has mobilized around them to help them raise funds to finance the trainer 's medical expenses.
A GoFundMe page raised close to $ 20,000 and a recent fundraiser for a pool tournament for Marie was reserved for standing, said the son of coach, Matthew Trainer Jr.
"I can not believe everyone came to help and even people I do not know coming from other states, and it's amazing people who came to help." I do not know how thank them all, "Marie Trainer told me.
She hopes to attend the next fundraiser on Aug. 31, a motorcycle poker race and a dinner sponsored by friends from another local restaurant.
She attributes her strength to the support of her family "It's been such a hard way down, I would not know what I would do without them," Trainer said.
The trainer will soon move from the hospital to a rehabilitation center to learn how to use the prostheses.
It has been equipped for prosthetic legs and will eventually have prosthetic wrists and hands.
"I feel very good, they heal very well," said the trainer.
"I'm so ready to go ahead, I want to go home, I want to go back to work."
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