Meningitis caused by Capnocytophaga canimorsus in a COVID-19 patient: a rare complication of dog bites
Document title: Meningitis caused by Capnocytophaga canimorsus in a COVID-19 patient: a rare complication of dog bites
Journal: Revista do Instituto de Medicina Tropical de Sao Paulo
Database:
System number: 000547850
ISSN: 0036-4665
Authors: 1
3
5
2
2
2
6
1
2
Institutions: 1Secretaria de Saúde do Estado do Ceará, Programa de Residência Médica em Infectologia, Fortaleza. Brasil
2Hospital São José de Doenças Infecciosas, Fortaleza, Ceará. Brasil
3Laboratório Central de Saúde Pública do Estado do Ceará, Fortaleza, Ceará. Brasil
4Universidade de Fortaleza, Fortaleza, Ceará. Brasil
5Universidade Federal do Ceará, Centro Especializado de Micologia Médica, Fortaleza, Ceará. Brasil
6Universidade de São Paulo, Faculdade de Medicina, São Paulo, São Paulo. Brasil
7Universidade de São Paulo, Instituto de Medicina Tropical de São Paulo, São Paulo, São Paulo. Brasil
Year:
Volumen: 64
Country: Brasil
Language: Inglés
English abstract Capnocytophaga canimorsus is a gram-negative rod that is part of the commensal microbiota of dogs’ and cats’ mouths. In this case, we report an 85-year-old man with COVID-19 who had his right arm bitten by a dog. His symptoms were impaired consciousness, agitation and aggressive behavior. Physical examination revealed neck stiffness and Brudzinski’s sign. The cerebrospinal fluid culture was compatible with Capnocytophaga canimorsus. He required intensive care and received a 14-day prescription of meropenem. After 40 days of hospitalization, the patient was fully recovered and was discharged. This case highlights the importance of physician and microbiologist be awareness of this disease, mainly in patients with neurological symptoms after a dog or cat bite.
Keyword: Capnocytophaga canimorsus,
Meningitis,
Dog,
SARS-CoV-2,
COVID-19
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