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. 2013 Winter;24(4):209-14.
doi: 10.1155/2013/930158.

'Bobo-Newton syndrome': An unwanted gift from man's best friend

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'Bobo-Newton syndrome': An unwanted gift from man's best friend

Kristin Y Popiel et al. Can J Infect Dis Med Microbiol. 2013 Winter.

Abstract

Capnocytophaga canimorsus is a facultative Gram-negative bacillus that is typically a constituent of the oral flora of dogs and cats. It was first isolated by Bobo and Newton in 1976 from a man presenting with meningitis following a dog bite. Transmission to humans follows various animal-related injuries, which may be gross or subtle. C canimorsus can cause a spectrum of syndromes ranging from skin and soft tissue infection to invasive disease such as meningitis or endocarditis. The present article reports a case of C canimorsus meningitis in a patient with the classic risk factor of alcoholic liver cirrhosis. Clinical suspicion was confirmed by culture and genetic identification of the blood isolate. The present article reviews the Capnocytophaga genus, the clinical syndromes most commonly associated with this zoonotic organism, its laboratory identification and treatment.

Le Capnocytophaga canimorsus est un bacille Gram négatif facultatif qui fait généralement partie de la flore buccale des chiens et des chats. C’est Bobo et Newton qui l’ont isolé pour la première fois en 1976, chez un homme souffrant d’une méningite après avoir été mordu par un chien. La transmission aux humains est secondaire à plusieurs blessures liées aux animaux, qui peuvent être évidentes ou discrètes. Le C canimorsus peut causer une série de syndromes, de l’infection de la peau et des tissus mous à une maladie invasive comme la méningite ou l’endocardite. Le présent article rend compte d’un cas de méningite à C canimorsus chez un patient ayant les facteurs de risque classiques de cirrhose hépatique alcoolique. La présomption clinique a été confirmée par culture et identification génétique de l’isolat sanguin. Dans le présent article, on trouve une analyse du gène Capnocytophaga, des syndromes cliniques les plus associés à cet organisme zoonotique, de son identification en laboratoire et de son traitement.

Keywords: Capnocytophaga canimorsus; Dog bite; Gram-negative bacillus; Meningitis.

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Figures

Figure 1)
Figure 1)
Necrotic eschar of the left index finger, raising concern for an animal bite injury
Figure 2)
Figure 2)
Magnetic resonance image of the brain revealing fluid levels in the ventricles bilaterally with diffusion restriction, suggestive of ventriculitis

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