Skip to main content

Advertisement

Log in

A case of Capnocytophaga canimorsus sacral abscess in an immunocompetent patient

  • Case Report
  • Published:
Infection Aims and scope Submit manuscript

Abstract

We report a unique case of sacral Capnocytophaga canimorsus abscess successfully treated with surgery and antibiotics. Close contact to a dog was assumed to be the most likely source of infection. Established risk factors for invasive C. canimorsus infection such as splenectomy, alcoholism or overt immunosuppression could not be identified. The role of cigarette smoking, portal of entry and the possible relevance of altered skin microbiota as well as the diagnostic value of polymerase chain reaction are discussed in the light of the scarce literature of spinal C. canimorsus infections.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Gaastra W, Lipman LJ. Capnocytophaga canimorsus. Vet Microbiol. 2010;140:339–46.

    Article  PubMed  Google Scholar 

  2. Nelson MJ, Westfal RE. Case report: vertebral osteomyelitis/discitis as a complication of Capnocytophaga canimorsus bacteremia. J Emerg Med. 2008;35:269–71.

    Article  PubMed  Google Scholar 

  3. Cleuziou C, Binard A, Devauchelle-Pensec V, Hery-Arnaud G, Jousse-Joulin S, Saraux A. Beware man’s best friend. Spine. 2010;35:E1520–1 (Phila Pa 1976).

    Article  PubMed  Google Scholar 

  4. Bosshard PP, Kronenberg A, Zbinden R, Ruef C, Bottger EC, Altwegg M. Etiologic diagnosis of infective endocarditis by broad-range polymerase chain reaction: a 3-year experience. Clin Infect Dis. 2003;37:167–72. doi:10.1086/375592.

    Article  PubMed  Google Scholar 

  5. Johnson M, Zaretskaya I, Raytselis Y, Merezhuk Y, McGinnis S, Madden TL. NCBI BLAST: a better web interface. Nucleic Acids Res. 2008;36:W5–9. doi:10.1093/nar/gkn201.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  6. Sendi P, Bregenzer T, Zimmerli W. Spinal epidural abscess in clinical practice. QJM. 2008;101:1–12. doi:10.1093/qjmed/hcm100.

    Article  CAS  PubMed  Google Scholar 

  7. Levy PY, Fournier PE, Fenollar F, Raoult D. Systematic PCR detection in culture-negative osteoarticular infections. Am J Med. 2013;126:1143 e25–33. doi:10.1016/j.amjmed.2013.04.027.

    Article  Google Scholar 

  8. Le Moal G, Landron C, Grollier G, Robert R, Burucoa C. Meningitis due to Capnocytophaga canimorsus after receipt of a dog bite: case report and review of the literature. Clin Infect Dis. 2003;36:e42–6. doi:10.1086/345477.

    Article  PubMed  Google Scholar 

  9. Ehrmann E, Handal T, Tamanai-Shacoori Z, Bonnaure-Mallet M, Fosse T. High prevalence of beta-lactam and macrolide resistance genes in human oral Capnocytophaga species. J Antimicrob Chemother. 2014;69:381–4. doi:10.1093/jac/dkt350.

    Article  CAS  PubMed  Google Scholar 

  10. Weinberg ED. Microbial pathogens with impaired ability to acquire host iron. Biometals. 2000;13:85–9.

    Article  CAS  PubMed  Google Scholar 

  11. Chen YE, Tsao H. The skin microbiome: current perspectives and future challenges. J Am Acad Dermatol. 2013;69:143–55. doi:10.1016/j.jaad.2013.01.016.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  12. Naik S, Bouladoux N, Wilhelm C, Molloy MJ, Salcedo R, Kastenmuller W, et al. Compartmentalized control of skin immunity by resident commensals. Science. 2012;337:1115–9. doi:10.1126/science.1225152.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  13. Tran TT, Jaijakul S, Lewis CT, Diaz L, Panesso D, Kaplan HB, et al. Native valve endocarditis caused by Corynebacterium striatum with heterogeneous high-level daptomycin resistance: collateral damage from daptomycin therapy? Antimicrob Agents Chemother. 2012;56:3461–4. doi:10.1128/AAC.00046-12.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  14. Hoiby N, Jarlov JO, Kemp M, Tvede M, Bangsborg JM, Kjerulf A, et al. Excretion of ciprofloxacin in sweat and multiresistant Staphylococcus epidermidis. Lancet. 1997;349:167–9. doi:10.1016/S0140-6736(96)09229-X.

    Article  CAS  PubMed  Google Scholar 

  15. Weber DJ, Wolfson JS, Swartz MN, Hooper DC. Pasteurella multocida infections. Report of 34 cases and review of the literature. Medicine. 1984;63(3):133–154.

  16. Lorenz KA, Weiss PJ. Capnocytophagal pneumonia in a healthy man. West J Med. 1994;160:79–80.

    PubMed Central  CAS  PubMed  Google Scholar 

  17. Mosher CB, Corp R. Mediastinal abscess with Capnocytophaga spp. in a competent host. J Clin Microbiol. 1986;24:161–2.

    PubMed Central  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We thank Dr. Christian Kahlert for his valuable input on human microbiota and Dr. Ivan Chau for proof-reading the manuscript.

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to H. Joswig.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Joswig, H., Gers, B., Dollenmaier, G. et al. A case of Capnocytophaga canimorsus sacral abscess in an immunocompetent patient. Infection 43, 217–221 (2015). https://doi.org/10.1007/s15010-014-0681-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s15010-014-0681-6

Keywords

Navigation