[Meningitis due to Capnocytophaga canimorsus with misleading initial digestive symptom].
We set out a case of Capnocytophaga canimorsus septicemia complicated by a meningitis in a chronic alcoholic male pensioner. The Capnocytophaga canimorsus bacterium contaminated the patient after his dog licked little varicose wounds. Initial symptoms led to a digestive infectious syndrome. Capnocytophaga canimorsus grows more slowly than usual bacteria and appeals to a bacteriological deductive reflection which is provided in this article for its identification in a general hospital. In order not to lose time with that infection which can be lethal, we describe the patient's ground, clinical signs which can be expected and we propose a probabilistic antibiotic therapy while waiting for the laboratory diagnosis.
Biedermann
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Service de médecine A-4D, Centre hospitalier général, 88200 Remiremont.
Deligne
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D002206:Capnocytophaga; D003967:Diarrhea / Q000209:etiology; D016905:Gram-Negative Bacterial Infections / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D008875:Middle Aged; D018805:Sepsis / Q000150:complications / Q000175:diagnosis*; D014839:Vomiting / Q000209:etiology