title: Do not snog the dog: infective endocarditis due to Capnocytophaga canimorsus.
abstract: We present a case of prosthetic valve endocarditis and paravalvular abscess caused by the canine bacteria Capnocytophaga canimorsus in a 63-year-old man, who made a habit of snogging his pet dog. Capnocytophaga canimorsus can cause culture-negative endocarditis, therefore a high level of clinical awareness and the appropriate isolation techniques are important for making the diagnosis. Antibiotic therapy and properly timed excision of the infected focus are recommended.
authors.affiliation: Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, West Yorkshire, UK.
authors.forename: D L
authors.initials: DL
authors.lastname: Ngaage
authors.forename: K N
authors.initials: KN
authors.lastname: Kotidis
authors.forename: J A
authors.initials: JA
authors.lastname: Sandoe
authors.forename: R
authors.initials: R
authors.lastname: Unnikrishnan Nair
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002206:Capnocytophaga / Q000302:isolation & purification*; D003131:Combined Modality Therapy; D004285:Dogs; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005500:Follow-Up Studies; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D012086:Reoperation; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents