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¹Unidade de Infecciologia e Serviço de Urgência, Hospital Pediátrico de Coimbra, Coimbra, Portugal.

Acta Medica Portuguesa

|October 17, 2012

Summary

This summary is machine-generated.

Capnocytophaga species, bacteria found in oral flora, can cause serious infections. A rare extracerebral intracranial abscess case highlights diagnostic challenges and the importance of considering animal bites as an infection source.

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Area of Science:

Infectious Diseases
Microbiology
Neurology

Background:

Capnocytophaga species are commensal oral flora in humans and animals.
These bacteria can cause various infections, including skin, soft tissue, and invasive diseases.
Microbiological identification of Capnocytophaga can be challenging due to slow growth.

Observation:

A case of an extracerebral intracranial abscess presenting as a frontal mass is described.
The abscess posed diagnostic challenges due to its presentation and the slow-growing nature of the causative agent.
Surgical drainage and antibiotic therapy led to a favorable outcome.

Findings:

Capnocytophaga species were identified as the causative agent of the intracranial abscess.
The identification occurred in the second week of treatment.
A history of a dog bite preceding the initial symptoms was revealed, suggesting a potential entry point.

Implications:

This case underscores the potential for Capnocytophaga to cause rare but severe infections like intracranial abscesses.
It highlights the diagnostic difficulties associated with slow-growing bacteria.
The findings emphasize the importance of considering animal bites, particularly dog bites, as a potential zoonotic source for such infections.