Meningitis caused by Capnocytophaga canimorsus in a COVID-19 patient: a rare complication of dog bites
Farias, Luís Arthur Brasil Gadelha; Stolp, Ângela Maria Veras; Bandeira, Silviane Praciano; Mesquita, Rafael Ferreira; Bessa, Pedro Pinheiro de Negreiros; Holanda, Pablo Eliack Linhares de; Costa, Silvia Figueiredo; Takeda, Christianne Fernandes Valente; Perdigão Neto, Lauro Vieira.
Rev. Inst. Med. Trop. São Paulo (Online)
; 64: e33, 2022. tab, graf
Artículo
en Inglés
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LILACS-Express
| ID: biblio-1376307
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.
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