Meningitis caused by Capnocytophaga canimorsus in a COVID-19 patient: a rare complication of dog bites

被引:0
作者
Brasil Gadelha Farias, Luis Arthur [1 ,2 ]
Veras Stolp, Angela Maria [3 ,4 ]
Bandeira, Silviane Praciano [5 ]
Mesquita, Rafael Ferreira [2 ]
de Negreiros Bessa, Pedro Pinheiro [2 ]
Linhares de Holanda, Pablo Eliack [2 ]
Costa, Silvia Figueiredo [6 ,7 ]
Valente Takeda, Christianne Fernandes [1 ,2 ]
Perdigao Neto, Lauro Vieira [2 ,6 ]
机构
[1] Secretaria Saude Estado Ceara, Programa Residencia Med Infectol, Rua Nestor Barbosa 315, BR-60455610 Fortaleza, Ceara, Brazil
[2] Hosp Sao Jose Doencas Infecciosas, Fortaleza, Ceara, Brazil
[3] Lab Cent Saude Publ Estado Ceara, Setor Microbiol, Fortaleza, Ceara, Brazil
[4] Univ Fortaleza, Fortaleza, Ceara, Brazil
[5] Univ Fed Ceara, Ctr Especializado Micol Med, Fortaleza, Ceara, Brazil
[6] Univ Sao Paulo, Fac Med, Sao Paulo, Brazil
[7] Univ Sao Paulo, Inst Med Trop Sao Paulo, Sao Paulo, SP, Brazil
来源
REVISTA DO INSTITUTO DE MEDICINA TROPICAL DE SAO PAULO | 2022年 / 64卷
关键词
Capnocytophaga canimorsus; Meningitis; Dog; SARS-CoV-2; COVID-19; INFECTION;
D O I
10.1590/S1678-9946202264033
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
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.
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页数:5
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