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Case Reports
Capnocytophaga canimorsus meningitis in a 38-year-old immunocompetent woman from household pet exposure.
- Adam G Fennell, Kyle S Wilson, Kevin R Caja, and Pratik M Parikh.
- Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF, Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA 18103, USA. Electronic address: Adam.Fennell@lvhn.org.
- Am J Emerg Med. 2022 Jun 1; 56: 396.e1-396.e3.
AbstractA 38-year-old otherwise healthy woman with no history of immunocompromise, recent travel, or concerning exposures presented to the ED with several days of nonspecific cold-like symptoms with associated generalized headache. After the patient was symptomatically treated and discharged, she returned several hours later with worsening of symptoms and new vomiting, confusion, and sensorineural hearing loss. Blood and cerebrospinal fluid cultures eventually returned positive for a Capnocytophaga canimorsus infection, a bacterial pathogen found in the saliva of dogs and cats. Only after that, the patient recalled being scratched and licked by her pets, two dogs and a cat. She was treated with a course of systemic steroids, antibiotics and discharged home.Copyright © 2022 Elsevier Inc. All rights reserved.
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