Abstract
Capnocytophaga spp are Gram-negative bacteria commonly identified as oral saprophytes of humans, dogs and cats; they rarely cause invasive infections in immunocompetent subjects. This case report is about a rare case of cerebral abscess caused by Capnocytophaga spp in an immunocompetent subject who had no risk factors for Capnocytophaga invasive infections (oral alterations, traumatic or iatrogenic lesions of pharynx and/or oesophagus, recent dog bite). We also report Capnocytophaga spp naturally resistant to metronidazole, this being the cause of inefficacy of this drug usually included in empiric chemotherapy of cerebral abscess.
MeSH terms
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Adult
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Anti-Bacterial Agents / therapeutic use
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Anticonvulsants / therapeutic use
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Brain Abscess / drug therapy
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Brain Abscess / microbiology*
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Brain Abscess / surgery
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Bundle-Branch Block / surgery
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Capnocytophaga / isolation & purification*
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Cardiac Surgical Procedures
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Combined Modality Therapy
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Dexamethasone / therapeutic use
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Drainage
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Epilepsy / drug therapy
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Epilepsy / etiology
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Gram-Negative Bacterial Infections / drug therapy
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Gram-Negative Bacterial Infections / microbiology*
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Gram-Negative Bacterial Infections / surgery
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Heart Defects, Congenital / surgery
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Humans
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Immunocompetence
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Male
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Mannitol / therapeutic use
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Pacemaker, Artificial
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Postoperative Complications / drug therapy
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Postoperative Complications / microbiology*
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Postoperative Complications / surgery
Substances
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Anti-Bacterial Agents
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Anticonvulsants
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Mannitol
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Dexamethasone