Capnocytophaga canimorsus blebitis: case report and review of literature

Abstract Background Capnocytophaga canimorsus is a facultative anaerobic, slow-growing, capnophilic, Gram-negative bacillus, that is commonly found in the microflora of canine and feline oral cavities. Capnocytophaga infections are an emerging zoonotic disease that can cause fatal systemic infection...

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Main Authors: Michael C. Yang, John Ling, Sameh Mosaed
Format: Article
Language:English
Published: BMC 2021-01-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-021-01823-8
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author Michael C. Yang
John Ling
Sameh Mosaed
author_facet Michael C. Yang
John Ling
Sameh Mosaed
author_sort Michael C. Yang
collection DOAJ
description Abstract Background Capnocytophaga canimorsus is a facultative anaerobic, slow-growing, capnophilic, Gram-negative bacillus, that is commonly found in the microflora of canine and feline oral cavities. Capnocytophaga infections are an emerging zoonotic disease that can cause fatal systemic infections in immunocompromised individuals. Localized ocular Capnocytophaga infections, including keratitis, blepharitis, and endophthalmitis, can lead to severe eye threatening situations. To our knowledge, there is currently no documented case of Capnocytophaga canimorsus blebitis with bleb perforation after trabeculectomy. Case presentation Our case report and literature review features a novel case of Capnocytophaga blebitis that occurred after trabeculectomy, associated with close dog contact (i.e. face licking). The patient had underwent trabeculectomy 10 years prior and presented with conjunctival injection, perforated bleb, and hypotony. Overall, patient was medically treated subconjunctival vancomycin, gentamicin and moxifloxacin drops. Trabeculectomy revision was performed with good visual outcome. Bacterial cultures grew Capnocytophaga canimorsus. Conclusions We discuss the strategies for diagnosis, treatment, and common risk factors for ocular Capnocytophaga infections. At-risk patients with ocular infections should be asked about close contact with dogs and cats; and treated promptly with the proper antibiotic regimen.
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spelling doaj.art-a59fce9e09d346f88b76a3cf5e0d4c652022-12-21T20:18:15ZengBMCBMC Ophthalmology1471-24152021-01-012111510.1186/s12886-021-01823-8Capnocytophaga canimorsus blebitis: case report and review of literatureMichael C. Yang0John Ling1Sameh Mosaed2Department of Ophthalmology, Gavin Herbert Eye Institute, University of CaliforniaDepartment of Ophthalmology, Gavin Herbert Eye Institute, University of CaliforniaDepartment of Ophthalmology, Gavin Herbert Eye Institute, University of CaliforniaAbstract Background Capnocytophaga canimorsus is a facultative anaerobic, slow-growing, capnophilic, Gram-negative bacillus, that is commonly found in the microflora of canine and feline oral cavities. Capnocytophaga infections are an emerging zoonotic disease that can cause fatal systemic infections in immunocompromised individuals. Localized ocular Capnocytophaga infections, including keratitis, blepharitis, and endophthalmitis, can lead to severe eye threatening situations. To our knowledge, there is currently no documented case of Capnocytophaga canimorsus blebitis with bleb perforation after trabeculectomy. Case presentation Our case report and literature review features a novel case of Capnocytophaga blebitis that occurred after trabeculectomy, associated with close dog contact (i.e. face licking). The patient had underwent trabeculectomy 10 years prior and presented with conjunctival injection, perforated bleb, and hypotony. Overall, patient was medically treated subconjunctival vancomycin, gentamicin and moxifloxacin drops. Trabeculectomy revision was performed with good visual outcome. Bacterial cultures grew Capnocytophaga canimorsus. Conclusions We discuss the strategies for diagnosis, treatment, and common risk factors for ocular Capnocytophaga infections. At-risk patients with ocular infections should be asked about close contact with dogs and cats; and treated promptly with the proper antibiotic regimen.https://doi.org/10.1186/s12886-021-01823-8Capnocytophaga canimorsusBlebitisTrabeculectomyBleb perforationBleb-associated infectionsCase report
spellingShingle Michael C. Yang
John Ling
Sameh Mosaed
Capnocytophaga canimorsus blebitis: case report and review of literature
BMC Ophthalmology
Capnocytophaga canimorsus
Blebitis
Trabeculectomy
Bleb perforation
Bleb-associated infections
Case report
title Capnocytophaga canimorsus blebitis: case report and review of literature
title_full Capnocytophaga canimorsus blebitis: case report and review of literature
title_fullStr Capnocytophaga canimorsus blebitis: case report and review of literature
title_full_unstemmed Capnocytophaga canimorsus blebitis: case report and review of literature
title_short Capnocytophaga canimorsus blebitis: case report and review of literature
title_sort capnocytophaga canimorsus blebitis case report and review of literature
topic Capnocytophaga canimorsus
Blebitis
Trabeculectomy
Bleb perforation
Bleb-associated infections
Case report
url https://doi.org/10.1186/s12886-021-01823-8
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