Community-acquired Capnocytophaga canimorsus meningitis in adults: report of one case with a subacute course and deafness, and literature review.
BACKGROUND
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.
Gasch
Oriol
O
Servicio de Enfermedades Infecciosas, IDIBELL Hospital Universitari de Bellvitge, Universidad de Barcelona, Barcelona, España.
Fernández
Nuria
N
Armisen
Alberto
A
Verdaguer
Ricardo
R
Fernández
Pedro
P
D000667:Ampicillin / Q000008:administration & dosage / Q000627:therapeutic use; D000818:Animals; D001733:Bites and Stings / Q000150:complications* / Q000382:microbiology; D002206:Capnocytophaga / Q000472:pathogenicity*; D017714:Community-Acquired Infections / Q000134:cerebrospinal fluid / Q000150:complications / Q000382:microbiology*; D003907:Dexamethasone / Q000008:administration & dosage / Q000627:therapeutic use; D004285:Dogs; D016905:Gram-Negative Bacterial Infections / Q000134:cerebrospinal fluid / Q000150:complications / Q000453:epidemiology / Q000382:microbiology*; D006230:Hand Injuries / Q000150:complications / Q000382:microbiology; D006312:Hearing Loss, Bilateral / Q000209:etiology*; D006319:Hearing Loss, Sensorineural / Q000209:etiology*; D006801:Humans; D007964:Leukocytosis / Q000134:cerebrospinal fluid / Q000209:etiology; D008297:Male; D016920:Meningitis, Bacterial / Q000134:cerebrospinal fluid / Q000150:complications / Q000453:epidemiology / Q000382:microbiology*; D008875:Middle Aged; D014946:Wound Infection / Q000150:complications / Q000382:microbiology
D000667:Ampicillin; D003907:Dexamethasone