Putative Novel Species of Genus Capnocytophaga, Capnocytophaga stomatis Bacteremia in a Patient with Multiple Myeloma after Direct Contact with a Cat

Capnocytophaga species are among the typical zoonotic pathogens causing infections following direct contact with animals. Recently, a putative novel species of zoonotic Capnocytophaga, Capnocytophaga stomatis, was reported. We herein report the first case of bacteremia caused by C. stomatis. A woman...

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Published inInternal Medicine Vol. 61; no. 14; pp. 2233 - 2237
Main Authors Suzuki, Michio, Shinohara, Koh, Okuzawa, Yasutaro, Imaoka, Koichi, Tsuchido, Yasuhiro, Shimizu, Tsunehiro, Yamamoto, Kojiro
Format Journal Article
LanguageEnglish
Published Japan The Japanese Society of Internal Medicine 15.07.2022
Japan Science and Technology Agency
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Abstract Capnocytophaga species are among the typical zoonotic pathogens causing infections following direct contact with animals. Recently, a putative novel species of zoonotic Capnocytophaga, Capnocytophaga stomatis, was reported. We herein report the first case of bacteremia caused by C. stomatis. A woman in her 80s with multiple myeloma who was receiving bortezomib and dexamethasone therapy was admitted to our hospital with a 2-day history of a fever and right calf redness. She was often licked by her cat. On a blood culture, thin, Gram-negative rods were detected, which were identified as C. stomatis by whole-genome sequencing. The patient was successfully treated with ampicillin-sulbactam treatment. Our case highlights the pathogenic potential of the putative novel Capnocytophaga, C. stomatis, in immunocompromised hosts.
AbstractList Capnocytophaga species are among the typical zoonotic pathogens causing infections following direct contact with animals. Recently, a putative novel species of zoonotic Capnocytophaga, Capnocytophaga stomatis, was reported. We herein report the first case of bacteremia caused by C. stomatis. A woman in her 80s with multiple myeloma who was receiving bortezomib and dexamethasone therapy was admitted to our hospital with a 2-day history of a fever and right calf redness. She was often licked by her cat. On a blood culture, thin, Gram-negative rods were detected, which were identified as C. stomatis by whole-genome sequencing. The patient was successfully treated with ampicillin-sulbactam treatment. Our case highlights the pathogenic potential of the putative novel Capnocytophaga, C. stomatis, in immunocompromised hosts.
Capnocytophaga species are among the typical zoonotic pathogens causing infections following direct contact with animals. Recently, a putative novel species of zoonotic Capnocytophaga , Capnocytophaga stomatis , was reported. We herein report the first case of bacteremia caused by C. stomatis . A woman in her 80s with multiple myeloma who was receiving bortezomib and dexamethasone therapy was admitted to our hospital with a 2-day history of a fever and right calf redness. She was often licked by her cat. On a blood culture, thin, Gram-negative rods were detected, which were identified as C. stomatis by whole-genome sequencing. The patient was successfully treated with ampicillin-sulbactam treatment. Our case highlights the pathogenic potential of the putative novel Capnocytophaga , C. stomatis , in immunocompromised hosts.
Capnocytophaga species are among the typical zoonotic pathogens causing infections following direct contact with animals. Recently, a putative novel species of zoonotic Capnocytophaga, Capnocytophaga stomatis, was reported. We herein report the first case of bacteremia caused by C. stomatis. A woman in her 80s with multiple myeloma who was receiving bortezomib and dexamethasone therapy was admitted to our hospital with a 2-day history of a fever and right calf redness. She was often licked by her cat. On a blood culture, thin, Gram-negative rods were detected, which were identified as C. stomatis by whole-genome sequencing. The patient was successfully treated with ampicillin-sulbactam treatment. Our case highlights the pathogenic potential of the putative novel Capnocytophaga, C. stomatis, in immunocompromised hosts.Capnocytophaga species are among the typical zoonotic pathogens causing infections following direct contact with animals. Recently, a putative novel species of zoonotic Capnocytophaga, Capnocytophaga stomatis, was reported. We herein report the first case of bacteremia caused by C. stomatis. A woman in her 80s with multiple myeloma who was receiving bortezomib and dexamethasone therapy was admitted to our hospital with a 2-day history of a fever and right calf redness. She was often licked by her cat. On a blood culture, thin, Gram-negative rods were detected, which were identified as C. stomatis by whole-genome sequencing. The patient was successfully treated with ampicillin-sulbactam treatment. Our case highlights the pathogenic potential of the putative novel Capnocytophaga, C. stomatis, in immunocompromised hosts.
ArticleNumber 7947-21
Author Shinohara, Koh
Shimizu, Tsunehiro
Suzuki, Michio
Okuzawa, Yasutaro
Tsuchido, Yasuhiro
Imaoka, Koichi
Yamamoto, Kojiro
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  fullname: Okuzawa, Yasutaro
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  organization: Department of Veterinary Science, National Institute of Infectious Diseases, Japan
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  fullname: Tsuchido, Yasuhiro
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10.1007/s10096-016-2842-2
10.1136/bcr-2012-007892
10.1111/1348-0421.12642
10.1093/bioinformatics/btv681
10.1086/430178
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10.1128/JCM.39.5.2028-2029.2001
10.1007/s10096-020-03922-8
10.1038/srep22919
10.1007/s10096-012-1606-x
10.1099/ijsem.0.004979
10.1128/jcm.27.2.231-235.1989
10.1016/j.vetmic.2010.01.001
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Issue 14
Keywords whole genome sequencing
multiple myeloma
Capnocytophaga stomatis
cellulitis
bacteremia
Language English
License The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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Correspondence to Dr. Koh Shinohara, shinoharakoh@kuhp.kyoto-u.ac.jp
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References 4. Zangenah S, Abbasi N, Andersson AF, Bergman P. Whole genome sequencing identifies a novel species of the genus Capnocytophaga isolated from dog and cat bite wounds in humans. Sci Rep 6: 22919, 2016.
2. Suzuki M, Umeda K, Kimura M, Imaoka K, Morikawa S, Maeda K. Capnocytophaga felis sp. nov. isolated from the feline oral cavity. Int J Syst Evol Microbiol 70: 3335-3360, 2020.
7. Taki M, Shimojima Y, Nogami A, et al. Sepsis caused by newly identified Capnocytophaga canis following cat bites: C. canis is the third candidate along with C. canimorsus and C. cynodegmi causing zoonotic infection. Intern Med 57: 273-277, 2018.
12. Irie Y, Yamatogi T, Sugahara R, Suzuki M, Imaoka K. A case of septicemia caused by putative novel species of genus Capnocytophaga. Nihon Rinsho Biseibutsugaku Zasshi (J Jpn Soc Clin Microbiol) 25: S1 290, 2015 (in Japanese).
9. Sarma PS, Mohanty S. Capnocytophaga cynodegmi cellulitis, bacteremia, and pneumonitis in a diabetic man. J Clin Microbiol 39: 2028-2029, 2001.
6. Ritchter M, Rosselló-Móra R, Glöckner FO, Peplies J. JSpeciesWS: a web server for prokaryotic species circumscription based on pairwise genome comparison. Bioinformatics 32: 929-931, 2015.
14. Suzuki M, Imaoka K, Haga Y, et al. Characterization of three strains of Capnocytophaga canis isolated from patients with sepsis. Microbiol Immunol 62: 567-573, 2018.
3. Zhang Y, Qiao D, Shi W, Wu D, Cai M. Capnocytophaga periodontitidis sp. nov., isolated from subgingival plaque of periodontitis patient. Int J Syst Evol Microbiol 71: 2021.
8. CLSI. Performance Standards for Antimicrobial Susceptibility Testing. 31st ed. Clinical and Laboratory Standards Institute, Wayne, PA, 2021.
16. Zangenah S, Andersson AF, Özenci V, Bergman P. Genomic analysis reveals the presence of a class D beta-lactamase with broad substrate specificity in animal bite associated Capnocytophaga species. Eur J Clin Microbiol Dis 36: 657-662, 2017.
1. Brenner DJ, Hollis DG, Fanning GR, Weaver RE. Capnocytophaga canimorsus sp. nov. (formerly CDC group DF-2), a cause of septicemia following dog bite, and C. cynodegmi sp. nov., a cause of localized wound infection following dog bite. J Clin Microbiol 27: 231-235, 1989.
10. Khawari AA, Myers JW, Ferguson DA Jr, Moorman JP. Sepsis and meningitis due to Capnocytophaga cynodegmi after splenectomy. Clin Infect Dis 40: 1709-1710, 2005.
5. Suzuki M, Kimura M, Imaoka K, Yamada A. Prevalence of Capnocytophaga canimorsus and Capnocytophaga cynodegmi in dogs and cats determined by using a newly established species-specific PCR. Vet Microbiol 144: 172-176, 2010.
13. Donner V, Buzzi M, Lazarevic V, et al. Septic shock caused by Capnocytophaga canis after a cat scratch. Eur J Clin Microbiol Infect Dis 39: 1993-1995, 2020.
15. Zangenah S, Özenci V, Boräng S, Bergman P. Identification of blood and wound isolates of C. canimorsus and C. cynodegmi using VITEK2 and MALDI-TOF. Eur J Clin Microbiol 31: 2631-2637, 2012.
11. Yamamoto U, Kunita M, Mohri M. Shock following a cat scratch. BMJ Case Rep 2013: bcr2012007892, 2013.
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12
13
14
15
16
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3
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References_xml – reference: 4. Zangenah S, Abbasi N, Andersson AF, Bergman P. Whole genome sequencing identifies a novel species of the genus Capnocytophaga isolated from dog and cat bite wounds in humans. Sci Rep 6: 22919, 2016.
– reference: 12. Irie Y, Yamatogi T, Sugahara R, Suzuki M, Imaoka K. A case of septicemia caused by putative novel species of genus Capnocytophaga. Nihon Rinsho Biseibutsugaku Zasshi (J Jpn Soc Clin Microbiol) 25: S1 290, 2015 (in Japanese).
– reference: 7. Taki M, Shimojima Y, Nogami A, et al. Sepsis caused by newly identified Capnocytophaga canis following cat bites: C. canis is the third candidate along with C. canimorsus and C. cynodegmi causing zoonotic infection. Intern Med 57: 273-277, 2018.
– reference: 11. Yamamoto U, Kunita M, Mohri M. Shock following a cat scratch. BMJ Case Rep 2013: bcr2012007892, 2013.
– reference: 6. Ritchter M, Rosselló-Móra R, Glöckner FO, Peplies J. JSpeciesWS: a web server for prokaryotic species circumscription based on pairwise genome comparison. Bioinformatics 32: 929-931, 2015.
– reference: 9. Sarma PS, Mohanty S. Capnocytophaga cynodegmi cellulitis, bacteremia, and pneumonitis in a diabetic man. J Clin Microbiol 39: 2028-2029, 2001.
– reference: 8. CLSI. Performance Standards for Antimicrobial Susceptibility Testing. 31st ed. Clinical and Laboratory Standards Institute, Wayne, PA, 2021.
– reference: 15. Zangenah S, Özenci V, Boräng S, Bergman P. Identification of blood and wound isolates of C. canimorsus and C. cynodegmi using VITEK2 and MALDI-TOF. Eur J Clin Microbiol 31: 2631-2637, 2012.
– reference: 5. Suzuki M, Kimura M, Imaoka K, Yamada A. Prevalence of Capnocytophaga canimorsus and Capnocytophaga cynodegmi in dogs and cats determined by using a newly established species-specific PCR. Vet Microbiol 144: 172-176, 2010.
– reference: 16. Zangenah S, Andersson AF, Özenci V, Bergman P. Genomic analysis reveals the presence of a class D beta-lactamase with broad substrate specificity in animal bite associated Capnocytophaga species. Eur J Clin Microbiol Dis 36: 657-662, 2017.
– reference: 1. Brenner DJ, Hollis DG, Fanning GR, Weaver RE. Capnocytophaga canimorsus sp. nov. (formerly CDC group DF-2), a cause of septicemia following dog bite, and C. cynodegmi sp. nov., a cause of localized wound infection following dog bite. J Clin Microbiol 27: 231-235, 1989.
– reference: 14. Suzuki M, Imaoka K, Haga Y, et al. Characterization of three strains of Capnocytophaga canis isolated from patients with sepsis. Microbiol Immunol 62: 567-573, 2018.
– reference: 3. Zhang Y, Qiao D, Shi W, Wu D, Cai M. Capnocytophaga periodontitidis sp. nov., isolated from subgingival plaque of periodontitis patient. Int J Syst Evol Microbiol 71: 2021.
– reference: 10. Khawari AA, Myers JW, Ferguson DA Jr, Moorman JP. Sepsis and meningitis due to Capnocytophaga cynodegmi after splenectomy. Clin Infect Dis 40: 1709-1710, 2005.
– reference: 2. Suzuki M, Umeda K, Kimura M, Imaoka K, Morikawa S, Maeda K. Capnocytophaga felis sp. nov. isolated from the feline oral cavity. Int J Syst Evol Microbiol 70: 3335-3360, 2020.
– reference: 13. Donner V, Buzzi M, Lazarevic V, et al. Septic shock caused by Capnocytophaga canis after a cat scratch. Eur J Clin Microbiol Infect Dis 39: 1993-1995, 2020.
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Snippet Capnocytophaga species are among the typical zoonotic pathogens causing infections following direct contact with animals. Recently, a putative novel species of...
Capnocytophaga species are among the typical zoonotic pathogens causing infections following direct contact with animals. Recently, a putative novel species of...
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SubjectTerms Ampicillin
Animals
Bacteremia
Bacteremia - complications
Bacteremia - drug therapy
Bites and Stings
Blood culture
Bortezomib
Capnocytophaga
Capnocytophaga stomatis
Case Report
cellulitis
Dexamethasone
Female
Fever
Genomes
Gram-Negative Bacterial Infections - complications
Gram-Negative Bacterial Infections - diagnosis
Gram-Negative Bacterial Infections - drug therapy
Humans
Immunocompromised hosts
Internal medicine
Multiple myeloma
Multiple Myeloma - complications
Patients
Species
Sulbactam
Whole genome sequencing
Zoonoses
Title Putative Novel Species of Genus Capnocytophaga, Capnocytophaga stomatis Bacteremia in a Patient with Multiple Myeloma after Direct Contact with a Cat
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