Abstract
Capnocytophaga species are gram-negative bacilli that inhabit mammalian oral surfaces and can cause opportunistic infection, especially in asplenic patients. The species Capnocytophaga canimorsus is particularly associated with dog bites and is known to cause endocarditis, meningitis, and sepsis in the general population. In pregnant patients, infections tied to Capnocytophaga species from human flora have been associated with preterm labor, chorioamnionitis, and neonatal septicemia. There is little known about the effects of zoonotically-acquired Capnocytophaga infection in pregnant patients. In this case report, we present a patient with Capnocytophaga bacteremia acquired after a dog bite associated with profound thrombocytopenia and preterm labor. Dog bites are common in the United States, and we present basic recommendations for management of dog bites in pregnant patients in order to avoid morbidity associated with delay in time to antibiotic treatment of infection as described in this case.
Highlights
There is little known about the effects of m zoonotically-acquired Capnocytophaga o infection in pregnant patients. In this case c report, we present a patient with - Capnocytophaga bacteremia acquired after n a dog bite associated with profound thromo bocytopenia and preterm labor
MMWR Morb Mortal Wkly Rep2003;52:605-10. Fam Physician 2014;90:239-43. 31. Muanda FT, Sheehy O, Berard A. Use of antibiotics during pregnancy and the risk of major congenital malformations: Clin Pharmacol 2017;83:2557-71. Shacoori Z, Bonnaure-Mallet M. Antimicrob Agents 2007;29:367-73
Summary
Ticemia in Denmark, 1982–1995: Capnocytophaga species: a cause of Capnocytophaga canimorsus was idenreview of 39 cases. Clin Infect Dis amniotic fluid infection and preterm tified in blood cultures after a dog bite in a. Premature Labor and Chorioamnionitis caused by tion was associated with fetal distress, Neonatal Septicemia Caused by Capnocytophaga: case report. Am J preterm labor, vaginal bleeding, severe. Capnocytophaga isolated from the endometrium as a cause of neonatal sepsis. Bass WT, DeLoach D, Khan JH, et al
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