Biedermann P, Deligne D
Service de médecine A-4D, Centre hospitalier général, 88200 Remiremont.
Ann Biol Clin (Paris). 2004 Jan-Feb;62(1):110-4.
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.
我们报告了一例犬咬二氧化碳嗜纤维菌败血症并发脑膜炎的病例，患者为一名患有慢性酒精中毒的男性退休人员。该犬咬二氧化碳嗜纤维菌在患者的狗舔舐其微小静脉曲张伤口后感染了患者。初始症状导致了消化系统感染综合征。犬咬二氧化碳嗜纤维菌的生长速度比普通细菌慢，这需要进行细菌学的演绎推理，本文提供了在综合医院对其进行鉴定的方法。为了不延误这种可能致命的感染的治疗，我们描述了患者的背景、可能出现的临床症状，并在等待实验室诊断结果期间提出了一种经验性抗生素治疗方案。
