意大利伦巴第阿尔卑斯地区一种人畜共患病原体:免疫活性宿主嗜糖嗜细胞性脑膜炎1例

R. Galimi
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摘要

作者报告了一名51岁的男子,他的病例为犬嗜糖细胞噬菌感染,并发犬嗜糖细胞噬菌脑膜炎。人类感染是罕见的,但可导致毁灭性的后果。在被狗或猫咬伤后不久出现脑膜炎症状的患者,应考虑犬齿C.感染。本报告的目的是提高医生在面对曾接触过狗或猫的脑膜炎患者时对犬角锥虫的认识。在缺乏经典危险因素的情况下,临床医生应采取更高的临床怀疑态度。虽然死亡率相对较低,但幸存者往往有神经系统后遗症。本病例报告强调,即使在免疫功能正常的宿主中,也需要全面的病史来评估潜在的canimorsus感染风险。
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A Case of Capnocytophaga Canimorsus Meningitis in Immunocompetent Host: A Zoonotic Agent in the Lombardian Alpes in Italy
The author reports the case of C. canimorsus meningitis consecutive to Capnocytophaga canimorsus infection in a 51-year-old man. Human infection is rare but can lead to devastating outcomes. In patients in whom shortly after a dog or cat bite symptoms of meningitis occurred, C. canimorsus infection should be considered. The purpose of this report is to raise awareness of C. canimorsus among physicians when faced with a patient presenting with meningitis, who has been exposed to dogs or cats. Clinicians should adopt a higher clinical suspicion in the absence of classical risk factors. Although mortality is relatively low, survivors often have neurological sequelae. This case report highlights the importance of thorough history taking to assess risk of underlying C. canimorsus infection, even in immunocompetent hosts.
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