Meningitis caused by Capnocytophaga canimorsus : When to expect the unexpected
Abstract In this article we review the available data concerning meningitis caused by Capnocytophaga canimorsus . The clinical presentation of this rare condition is described with the emphasis on associated conditions and management issues. Two additional cases, illustrating the difficulties in rec...
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| Veröffentlicht in: | Clinical neurology and neurosurgery 2007-06, Vol.109 (5), p.393-398 |
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| container_title | Clinical neurology and neurosurgery |
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| creator | de Boer, M.G.J Lambregts, P.C.L.A van Dam, A.P van ’t Wout, J.W |
| description | Abstract In this article we review the available data concerning meningitis caused by Capnocytophaga canimorsus . The clinical presentation of this rare condition is described with the emphasis on associated conditions and management issues. Two additional cases, illustrating the difficulties in recognizing this rare disease, are presented. Reviewing a total of 28 reported cases, a preceding bite-incident by a cat or dog, or close contact with these animals, was described in the majority of cases (89%). Patients had a median age of 58 years; splenectomy and alcohol abuse were noted in, respectively, 18% and 25% of patients. Only in one case immune suppressive drug use was reported. The diagnosis C. canimorsus meningitis should be considered in healthy and immunocompromised adults, especially after splenectomy, who present with symptoms attributable to meningitis and a history of recent exposure to dogs or cats. The possibility of this condition has implications for both the diagnostic work-up and the treatment of the patient. |
| doi_str_mv | 10.1016/j.clineuro.2007.02.010 |
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The clinical presentation of this rare condition is described with the emphasis on associated conditions and management issues. Two additional cases, illustrating the difficulties in recognizing this rare disease, are presented. Reviewing a total of 28 reported cases, a preceding bite-incident by a cat or dog, or close contact with these animals, was described in the majority of cases (89%). Patients had a median age of 58 years; splenectomy and alcohol abuse were noted in, respectively, 18% and 25% of patients. Only in one case immune suppressive drug use was reported. The diagnosis C. canimorsus meningitis should be considered in healthy and immunocompromised adults, especially after splenectomy, who present with symptoms attributable to meningitis and a history of recent exposure to dogs or cats. The possibility of this condition has implications for both the diagnostic work-up and the treatment of the patient.</description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2007.02.010</identifier><identifier>PMID: 17408852</identifier><identifier>CODEN: CNNSBV</identifier><language>eng</language><publisher>Amsterdam: Elsevier B.V</publisher><subject>Alcohol abuse ; Alcohol-Related Disorders - diagnosis ; Animals ; Biological and medical sciences ; Bite wound ; Bites and Stings - complications ; Capnocytophaga ; Capnocytophaga canimorsus ; Cat ; Cats ; Ceftriaxone - therapeutic use ; Dexamethasone - therapeutic use ; Diagnosis, Differential ; Dog ; Dogs ; Drug Therapy, Combination ; Gram-Negative Bacterial Infections - diagnosis ; Gram-Negative Bacterial Infections - drug therapy ; Gram-Negative Bacterial Infections - transmission ; Humans ; Male ; Management ; Medical sciences ; Meningitis ; Meningitis, Bacterial - diagnosis ; Meningitis, Bacterial - drug therapy ; Meningitis, Bacterial - transmission ; Middle Aged ; Neurology ; Neurosurgery ; Opportunistic Infections - diagnosis ; Opportunistic Infections - transmission ; Risk Factors ; Splenectomy ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><ispartof>Clinical neurology and neurosurgery, 2007-06, Vol.109 (5), p.393-398</ispartof><rights>Elsevier B.V.</rights><rights>2007 Elsevier B.V.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c576t-e9f8ab7e8d06387ca9de7f29a727dce09f24893d5a2ba1c2845c6da9861d9a93</citedby><cites>FETCH-LOGICAL-c576t-e9f8ab7e8d06387ca9de7f29a727dce09f24893d5a2ba1c2845c6da9861d9a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1033153227?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18753022$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17408852$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Boer, M.G.J</creatorcontrib><creatorcontrib>Lambregts, P.C.L.A</creatorcontrib><creatorcontrib>van Dam, A.P</creatorcontrib><creatorcontrib>van ’t Wout, J.W</creatorcontrib><title>Meningitis caused by Capnocytophaga canimorsus : When to expect the unexpected</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description>Abstract In this article we review the available data concerning meningitis caused by Capnocytophaga canimorsus . The clinical presentation of this rare condition is described with the emphasis on associated conditions and management issues. Two additional cases, illustrating the difficulties in recognizing this rare disease, are presented. Reviewing a total of 28 reported cases, a preceding bite-incident by a cat or dog, or close contact with these animals, was described in the majority of cases (89%). Patients had a median age of 58 years; splenectomy and alcohol abuse were noted in, respectively, 18% and 25% of patients. Only in one case immune suppressive drug use was reported. The diagnosis C. canimorsus meningitis should be considered in healthy and immunocompromised adults, especially after splenectomy, who present with symptoms attributable to meningitis and a history of recent exposure to dogs or cats. The possibility of this condition has implications for both the diagnostic work-up and the treatment of the patient.</description><subject>Alcohol abuse</subject><subject>Alcohol-Related Disorders - diagnosis</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Bite wound</subject><subject>Bites and Stings - complications</subject><subject>Capnocytophaga</subject><subject>Capnocytophaga canimorsus</subject><subject>Cat</subject><subject>Cats</subject><subject>Ceftriaxone - therapeutic use</subject><subject>Dexamethasone - therapeutic use</subject><subject>Diagnosis, Differential</subject><subject>Dog</subject><subject>Dogs</subject><subject>Drug Therapy, Combination</subject><subject>Gram-Negative Bacterial Infections - diagnosis</subject><subject>Gram-Negative Bacterial Infections - drug therapy</subject><subject>Gram-Negative Bacterial Infections - transmission</subject><subject>Humans</subject><subject>Male</subject><subject>Management</subject><subject>Medical sciences</subject><subject>Meningitis</subject><subject>Meningitis, Bacterial - diagnosis</subject><subject>Meningitis, Bacterial - drug therapy</subject><subject>Meningitis, Bacterial - transmission</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>Opportunistic Infections - diagnosis</subject><subject>Opportunistic Infections - transmission</subject><subject>Risk Factors</subject><subject>Splenectomy</subject><subject>Surgery (general aspects). 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The clinical presentation of this rare condition is described with the emphasis on associated conditions and management issues. Two additional cases, illustrating the difficulties in recognizing this rare disease, are presented. Reviewing a total of 28 reported cases, a preceding bite-incident by a cat or dog, or close contact with these animals, was described in the majority of cases (89%). Patients had a median age of 58 years; splenectomy and alcohol abuse were noted in, respectively, 18% and 25% of patients. Only in one case immune suppressive drug use was reported. The diagnosis C. canimorsus meningitis should be considered in healthy and immunocompromised adults, especially after splenectomy, who present with symptoms attributable to meningitis and a history of recent exposure to dogs or cats. The possibility of this condition has implications for both the diagnostic work-up and the treatment of the patient.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><pmid>17408852</pmid><doi>10.1016/j.clineuro.2007.02.010</doi><tpages>6</tpages></addata></record> |
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| subjects | Alcohol abuse Alcohol-Related Disorders - diagnosis Animals Biological and medical sciences Bite wound Bites and Stings - complications Capnocytophaga Capnocytophaga canimorsus Cat Cats Ceftriaxone - therapeutic use Dexamethasone - therapeutic use Diagnosis, Differential Dog Dogs Drug Therapy, Combination Gram-Negative Bacterial Infections - diagnosis Gram-Negative Bacterial Infections - drug therapy Gram-Negative Bacterial Infections - transmission Humans Male Management Medical sciences Meningitis Meningitis, Bacterial - diagnosis Meningitis, Bacterial - drug therapy Meningitis, Bacterial - transmission Middle Aged Neurology Neurosurgery Opportunistic Infections - diagnosis Opportunistic Infections - transmission Risk Factors Splenectomy Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | Meningitis caused by Capnocytophaga canimorsus : When to expect the unexpected |
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