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Related Experiment Videos

[Meningitis after a superficial dog bite].

G A Kampinga1, A E Bollen, H J M Harmsen

  • 1Afd. Medische Microbiologie, Academisch Ziekenhuis, Groningen. g.a.kampinga@lvf.nl

Nederlands Tijdschrift Voor Geneeskunde
|February 1, 2002
PubMed
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A dog bite led to meningitis caused by Capnocytophaga canimorsus, a bacterium that can be hard to detect. Prompt antibiotic treatment led to a full recovery, highlighting the importance of animal contact history in diagnosing infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Genomics

Background:

  • Capnocytophaga canimorsus is an oral bacterium commonly found in dogs.
  • Infections with C. canimorsus can cause severe illness, including sepsis and meningitis, with a high mortality rate.
  • Predisposing factors like immune suppression are often associated with C. canimorsus infections, but not always present.

Observation:

  • A healthy 63-year-old man developed acute meningitis.
  • Cerebrospinal fluid analysis revealed slow-growing Gram-negative rods identified as C. canimorsus via 16S ribosomal RNA sequencing.
  • The patient reported a superficial dog bite, and C. canimorsus was detected in his dog's gingival swab.

Findings:

  • The C. canimorsus strains from the patient and his dog were identical, confirming the source of infection.

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  • The patient recovered quickly after treatment with cefotaxime.
  • This case highlights that C. canimorsus can cause severe infections even in immunocompetent individuals.

    • Implications:

    • Fastidious growth of C. canimorsus can lead to missed diagnoses in standard cultures.
    • In cases of unexplained sepsis or meningitis, inquiring about animal contact is crucial for diagnosis.
    • Early identification and appropriate antibiotic therapy are vital for improving outcomes in C. canimorsus infections.