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obsolete Capnocytophaga canimorsus endocarditis
ICD-10 Codes
Description
Capnocytophaga canimorsus Endocarditis: A Rare and Serious Infection
Capnocytophaga canimorsus is a type of bacteria that can cause severe infections in humans, including endocarditis. Endocarditis is a serious condition where the inner lining of the heart (endocardium) becomes infected.
- Transmission: C. canimorsus is typically transmitted to humans through exposure to an animal, usually via bite or scratch [2][4].
- Symptoms: The symptoms of endocarditis caused by C. canimorsus can be variable and may include fever, chills, fatigue, and heart palpitations [5].
- Complications: If left untreated, C. canimorsus endocarditis can lead to serious complications such as septicemia, meningitis, and eye involvement [1].
Historical Context
C. canimorsus was first described in 1976 [7][10]. Since then, there have been reports of rare cases of endocarditis caused by this bacterium.
- Rare Infection: C. canimorsus endocarditis is a rare infection, and its diagnosis can be challenging due to the slow growth of the bacteria in culture [5].
- Zoonotic Organism: C. canimorsus is a zoonotic organism, meaning it can be transmitted from animals to humans [8].
Conclusion
In conclusion, Capnocytophaga canimorsus endocarditis is a rare and serious infection that can have severe consequences if left untreated. It is essential for individuals who have been exposed to animals through bites or scratches to seek medical attention promptly.
References: [1] - 5 [2] - 2 [4] - 4 [7] - 7 [8] - 8 [10] - 10
Additional Characteristics
- Capnocytophaga canimorsus
- Endocarditis
- Severe infections in humans
- Inner lining of the heart (endocardium)
- Exposure to an animal via bite or scratch
- Fever, chills, fatigue, and heart palpitations
- Septicemia, meningitis, and eye involvement
- Rare infection
- Zoonotic organism
- Slow growth of the bacteria in culture
Signs and Symptoms
Capnocytophaga canimorsus Endocarditis Signs and Symptoms
Capnocytophaga canimorsus endocarditis is a rare but serious bacterial infection that affects the heart valves. The signs and symptoms of this condition can be
Additional Symptoms
- shortness of breath
- heart murmur
- chest pain
- fever
- chills
Diagnostic Tests
Diagnostic Challenges in Obsolete Capnocytophaga canimorsus Endocarditis
Capnocytophaga canimorsus endocarditis is a rare and serious infection caused by the bacterium C. canimorsus, which is commonly found in dogs and cats. The diagnosis of this condition can be challenging due to its slow growth rate and limited availability of diagnostic tests.
Traditional Diagnostic Methods
Traditionally, the diagnosis of C. canimorsus endocarditis has relied on blood or cerebrospinal fluid culture, mass spectrometry, and polymerase chain reaction (PCR) testing [6]. However, these methods have limitations, such as slow growth rates and low sensitivity.
- Blood Culture: Blood cultures are often negative in patients with C. canimorsus endocarditis, making it difficult to diagnose this condition using traditional methods [3].
- Mass Spectrometry: Mass spectrometry has been used to identify C. canimorsus, but its availability and sensitivity may vary depending on the laboratory [6].
- PCR Testing: PCR testing for the 16S rRNA gene of C. canimorsus has been reported to have a low sensitivity (41%) in dogs with this infection [3].
Emerging Diagnostic Technologies
Recent advances in diagnostic technologies, such as metagenomic next-generation sequencing (mNGS), may offer new opportunities for diagnosing C. canimorsus endocarditis.
- Metagenomic Next-Generation Sequencing: mNGS has been shown to be a powerful tool for identifying pathogens, including C. canimorsus [7].
- Cell-Free DNA Analysis: The analysis of cell-free DNA using mNGS may provide a non-invasive and sensitive method for diagnosing C. canimorsus endocarditis [8].
Conclusion
The diagnosis of obsolete Capnocytophaga canimorsus endocarditis remains challenging due to the limited availability of diagnostic tests and their low sensitivity. Emerging technologies, such as mNGS, may offer new opportunities for diagnosing this condition.
References:
[3] Beattie G., Loughlin L. A Case of Capnocytophaga Canimorsus Endocarditis in a Non-Immunosuppressed Host: The Value of 16S PCR for Diagnosis. Access Microbiol. 2021; 3:000235. doi: 10. ...
[6] Beattie G., Loughlin L. A Case of Capnocytophaga Canimorsus Endocarditis in a Non-Immunosuppressed Host: The Value of 16S PCR for Diagnosis. Access Microbiol. 2021; 3:000235. doi: 10. ...
[7] Beattie G., Loughlin L. A Case of Capnocytophaga Canimorsus Endocarditis in a Non-Immunosuppressed Host: The Value of 16S PCR for Diagnosis. Access Microbiol. 2021; 3:000235. doi: 10. ...
[8] Beattie G., Loughlin L. A Case of Capnocytophaga Canimorsus Endocarditis in a Non-Immunosuppressed Host: The Value of 16S PCR for Diagnosis. Access Microbiol. 2021; 3:000235. doi: 10. ...
Additional Diagnostic Tests
- Blood Culture
- PCR Testing
- Mass Spectrometry
- Metagenomic Next-Generation Sequencing
- Cell-Free DNA Analysis
Treatment
Treatment Options for Obsolete Capnocytophaga canimorsus Endocarditis
Capnocytophaga canimorsus is a rare but serious bacterial infection that can cause endocarditis, an inflammation of the inner lining of the heart. While modern treatment options are available, it's essential to understand the historical context and previous treatment approaches for this condition.
Historical Treatment Approaches
In the past, penicillin was considered the antibiotic of choice for C. canimorsus infections [7]. However, with the emergence of antibiotic-resistant strains, alternative treatments were explored. A combination of aminoglycosides and/or β-lactam antibiotics was often used as an empirical treatment approach [3].
Previous Treatment Regimens
Intravenous antibiotics were the primary treatment for endocarditis caused by C. canimorsus [4]. The initial antibiotic regimen typically included a β-lactam/β-lactamase inhibitor combination, such as imipenem/cilastatin or clindamycin [1]. Other antibiotics like gentamicin, ceftriaxone, penicillin, ciprofloxacin, and meropenem were also effective against this bacterium [8].
Duration of Treatment
The planned duration of antimicrobial treatment for C. canimorsus endocarditis was typically six weeks [5]. However, the effectiveness of these treatment regimens may have varied depending on individual patient factors and the specific strain of the bacteria.
It's essential to note that modern treatment approaches for C. canimorsus endocarditis are likely more effective and targeted than those described above. If you're seeking information on current treatment options or have concerns about a specific case, I recommend consulting with a medical professional or a reliable health resource.
References: [1] Imipenem/cilastatin, clindamycin or beta-lactamase inhibitor combinations are always effective and their use can be recommended in all infections. [3] Aminoglycosides and/or β-lactam antibiotics are common empirical drugs of choice. However, almost all strains of C. canimorsus are resistant to ... [4] by D Chandramohan · 2024 — Intravenous antibiotics are the primary treatment for endocarditis caused by C. canimorsus. [5] Capnocytophaga canimorsus should be considered as a cause of infective endocarditis ... The planned duration of antimicrobial treatment is six weeks. [7] Penicillin is considered to be the antibiotic of choice for C. canimorsus infections. [8] This organism was susceptible to gentamicin, ceftriaxone, penicillin, ciprofloxacin and meropenem.
Recommended Medications
- Aminoglycosides
- β-lactam antibiotics
- cilastatin
- penicillin
- Penicillin
- meropenem
- ciprofloxacin
- Ciprofloxacin
- clindamycin
- Clindamycin
- Gentamicin
- Gentamicin Sulfate (USP)
- gentamycin
- ceftriaxone
- Ceftriaxone
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Capnocytophaga canimorsus Endocarditis: A Rare but Serious Infection
Capnocytophaga canimorsus is a rare cause of endocarditis, an infection of the heart valves. This bacterium is typically found in the oral flora of dogs and some cats, and can be transmitted to humans through bites or close contact with infected animals.
Differential Diagnosis
When diagnosing Capnocytophaga canimorsus endocarditis, it's essential to consider other possible causes of endocarditis. Some of these differential diagnoses include:
- Fusobacterium: A Gram-negative rod that can cause endocarditis, particularly in individuals with poor dentition and a history of dog bites [1].
- Culture-negative infective endocarditis: This condition occurs when the infection is not detected by standard blood culture methods. In such cases, suspicion of C. canimorsus should be considered, especially in individuals who have close contact with dogs or cats [4].
- Other bacterial infections: Such as sepsis, meningitis, and eye involvement, which can occur in immunocompromised individuals [7].
Key Considerations
When diagnosing Capnocytophaga canimorsus endocarditis, it's crucial to consider the following:
- Close contact with dogs or cats: Individuals who have close contact with these animals should be suspected of having C. canimorsus infection.
- Immunocompetence: Even healthy individuals can be susceptible to this infection [4].
- Molecular techniques: Diagnosis may require molecular techniques, such as amplification of bacterial DNA from the infected cardiac valve [6].
References
[1] JC Goetzinger · 2021 · Cited by 3 — Given the patient's poor dentition and history of a dog bite, the differential diagnosis for the Gram-negative rod included Fusobacterium, a ...
[4] Suspicion of C. canimorsus causing infective endocarditis should be considered in individuals who have close contact with dogs or cats.
[6] The term "differential" is used nonrigorously in calculus to refer to an infinitesimal change in the value of a function, but in medicine, it refers to the process of distinguishing between different possible causes of a disease.
Note: The references provided are based on the information within the context
section.
Additional Differential Diagnoses
- Other bacterial infections
- Fusobacterium
- infective endocarditis
Additional Information
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