Ludovic Bergon, Suzanne Burel, Olivier Dauwalder, Brigitte Rivière, Paul Cauquil, Mathilde Vernet, Bob Catala, Marie Isabelle Steinbach, Ibtihel Benlhaj, Josiane Boularan, Jérôme Garcia, Sarah Khatibi
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[Capnocytophaga canimorsus meningitis: no, the dog is not always man's best friend!]
Capnocytophaga canimorsus meningitis are rare invasive infection with unpredictable outcomes. Therefore, rapid diagnosis and treatment are crucial. Here, we describe a case with an initially falsely reassuring clinical presentation. Lumbar puncture reveals purulent and inflammatory cerebrospinal fluid, but the syndromic multiplex PCR remains negative. The challenging microbiological diagnosis resulted from a meticulous examination of the CSF and the performance of a 16S rRNA PCR followed by sequencing. A thorough medical history, including close contact with dogs and identification of immunosuppression factors, is critical for diagnosis, emphasizing the importance of clinical-biological collaboration.