ABSTRACT
INTRODUCTION: An adult with community-acquired Capnocytophaga canimorsus meningitis presented with a subacute course, deafness, and a predominantly lymphocytic CSF cell count. METHODS: Eighteen reported cases of C. canimorsus meningitis in adults were analyzed. RESULTS: In about half the cases, CSF contained less than 1,000 leukocytes/microL or lymphocyte percentages 30%. These figures differ from those usually seen in meningitis caused by the classic meningeal pathogens. CONCLUSIONS: C. canimorsus should be included among the causes of sporadic lymphocytic meningitis in adults, in particular if the presentation involves deafness.
Subject(s)
Bites and Stings/complications , Capnocytophaga/pathogenicity , Community-Acquired Infections/microbiology , Gram-Negative Bacterial Infections/microbiology , Hearing Loss, Bilateral/etiology , Hearing Loss, Sensorineural/etiology , Meningitis, Bacterial/microbiology , Ampicillin/administration & dosage , Ampicillin/therapeutic use , Animals , Bites and Stings/microbiology , Community-Acquired Infections/cerebrospinal fluid , Community-Acquired Infections/complications , Dexamethasone/administration & dosage , Dexamethasone/therapeutic use , Dogs , Gram-Negative Bacterial Infections/cerebrospinal fluid , Gram-Negative Bacterial Infections/complications , Gram-Negative Bacterial Infections/epidemiology , Hand Injuries/complications , Hand Injuries/microbiology , Humans , Leukocytosis/cerebrospinal fluid , Leukocytosis/etiology , Male , Meningitis, Bacterial/cerebrospinal fluid , Meningitis, Bacterial/complications , Meningitis, Bacterial/epidemiology , Middle Aged , Wound Infection/complications , Wound Infection/microbiologyABSTRACT
Introduction: An adult with community-acquired Capnocytophaga canimorsus meningitis presented with a subacute course, deafness, and a predominantly lymphocytic CSF cell count. Methods Eighteen reported cases of C. canimorsus meningitis in adults were analyzed. Results: In about half the cases, CSF contained less than 1,000 (..) (AU)
Introduccion: se presenta el caso de un adulto con meningitis comunitaria por Capnocytophaga canimorsus (MCCC) de presentacion subaguda, con sordera y un liquido cefalorraquideo (LCR) de predominio linfocitario. Metodos: se han analizado los 18 casos de MCCC descritos en adultos. Resultados: en aproximadamente la mitad de los casos el LCR muestra menos de 1.000 (..) (AU)
