{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T16:44:58Z","timestamp":1788367498212,"version":"build-2803163510"},"reference-count":15,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,27]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>\n                    We describe the case of an immunocompetent 75-year-old man with\n                    <jats:italic>Capnocytophaga canimorsus<\/jats:italic>\n                    bacteraemia and meningitis.\n                    <jats:italic>C. canimorsus is<\/jats:italic>\n                    commonly found in the oral flora of dogs with human infection typically occurring following a bite. Unusually, while our patient was a dog owner, there was no history of bite nor scratch mark. Admission blood cultures flagged positive for Gram-negative bacilli, but prolonged molecular analysis was required before\n                    <jats:italic>C. canimorsus<\/jats:italic>\n                    was isolated in blood and cerebrospinal fluid. There is a high mortality rate in invasive infection, and in our patient\u2019s case, antibiotic therapy was commenced prior to laboratory confirmation with our patient making a complete recovery. This case highlights the importance of including\n                    <jats:italic>C. canimorsus<\/jats:italic>\n                    in the differential diagnosis of unwell patients who keep dogs, even without a bite. This case occurred amid heightened awareness of COVID-19, which may represent predisposition for zoonoses during social isolation and increased human\u2013pet contact.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2021-242432","type":"journal-article","created":{"date-parts":[[2021,7,21]],"date-time":"2021-07-21T12:58:49Z","timestamp":1626872329000},"page":"e242432","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Capnocytophaga canimorsus meningitis and bacteraemia without a dog bite in an immunocompetent individual"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2629-9835","authenticated-orcid":false,"given":"Fiona","family":"O'Riordan","sequence":"first","affiliation":[{"name":"General Medicine, Mercy University Hospital, Cork, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aoife","family":"Ronayne","sequence":"additional","affiliation":[{"name":"Microbiology, Mercy University Hospital, Cork, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Jackson","sequence":"additional","affiliation":[{"name":"Infectious Diseases, Mercy University Hospital, Cork, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,7,21]]},"reference":[{"key":"2025082712355406000_14.7.e242432.1","unstructured":"Bennett JE , Dolin R , Mandell BMJ . Douglas, and Bennett\u2019s Principles and Practice of Infectious Diseases. 8th edn. Philadelphia: Elsevier Saunders, 2015."},{"key":"2025082712355406000_14.7.e242432.2","doi-asserted-by":"crossref","unstructured":"Van Dam AP , Jansz A . Capnocytophaga canimorsus infections in the Netherlands: a nationwide survey. 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