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Méningite à Capnocytophaga canimorsus dans un tableau digestif initial trompeur Volume 62, issue 1, Janvier - Février 2004

Authors
Service de médecine A‐4D. Laboratoire, Centre hospitalier général, 88200 Remiremont

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.