Abstract
A 63-year-old Caucasian taxi driver presented with a 3-week history of malaise, night sweats, 7 kg weight loss, generalized arthralgia, and persistent mid-lower abdominal pain. Blood inflammatory markers were raised, and a computed tomography scan demonstrated an irregular degeneration of the infrarenal aorta, with a differential diagnosis including aortic infection. An urgent type IV thoracoabdominal aneurysm repair was performed with a rifampicin-soaked aortic tube graft during an open procedure. No organisms were grown from multiple peripheral blood cultures or culture of the affected aorta. However, subsequent 16S ribosomal polymerase chain reaction analysis of the resected aorta identified Capnocytophaga canimorsus as the causative organism-a commensal that lives in the mouth of dogs and cats. The patient subsequently gave a history of multiple bites from his pet dog over recent months-the likely source of infection. He was treated with 8 weeks of intravenous antibiotics before switching to oral antibiotics for an additional 6 weeks.
References
Jan 22, 1998·Intensive Care Medicine·S HovengaJ G Zijlstra
Feb 19, 2004·Journal of Medical Microbiology·Jonathan A T Sandoe
Jul 14, 2005·Journal of Vascular Surgery·Carmine SessaJean-Luc Magne
Dec 13, 2005·ANZ Journal of Surgery·Peter ChuAndrew K Roberts
Feb 4, 2006·Journal of Clinical Microbiology·David M TierneyJason L Sanchez
Feb 17, 2006·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J GottweinT Herren
May 20, 2006·Scandinavian Journal of Infectious Diseases·Agnès MeybeckPatrick Yeni
Jun 21, 2008·Journal of Medical Microbiology·Stephanie Chiang-Mei Low, John Edward Greenwood
Aug 26, 2009·Journal of Vascular Surgery·Mark J W Koelemay
Feb 2, 2012·Scandinavian Journal of Infectious Diseases·Rikke Nygaard Monrad, Dennis Schrøder Hansen
May 24, 2013·Journal of Clinical Microbiology·Mathieu RougemontBernard Hirschel
May 25, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·O T A LyonsP R Taylor
Sep 6, 2013·BMC Infectious Diseases·Dennis G BartenChantal P Bleeker-Rovers
Apr 25, 2014·BMJ Case Reports·Lokesh Shahani, Nancy Khardori
Sep 4, 2014·Infection·H JoswigC Strahm
Nov 8, 2014·Circulation·Karl SöreliusUNKNOWN European MAA collaborators
Apr 2, 2015·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·T Butler
Citations
Sep 27, 2019·Archives of Pathology & Laboratory Medicine·Lisa M StempakJohn E Leasure
Nov 12, 2019·Infectious Diseases·Naomi MaderStefan Herget-Rosenthal
Aug 12, 2021·IDCases·Kristen WestenfieldJason Sanchez