Capnocytophaga sputigena bloodstream infection in hematopoietic stem cell transplantations: two cases report and review of the literature

Rev Inst Med Trop Sao Paulo. 2020:62:e48. doi: 10.1590/s1678-9946202062048. Epub 2020 Jul 13.

Abstract

Capnocytophaga is a group of facultative anaerobic gram-negative bacteria present in the oral cavity of humans, dogs and cats, as part of their normal oral flora. Here, we described two cases of bloodstream infections (BSI) caused by Capnocytophaga in neutropenic autologous hematopoietic stem cell transplantation (auto-HSCT) patients with mucositis (Grade I and Grade III) identified by Maldi-Tof. They were successfully treated with β-lactam (meropenem and piperacillin-tazobactam). The species C. sputigena was confirmed by 16S rRNA gene sequencing in one patient. The review of literature showed that C. ochraceae was the most frequent species causing BSI in auto-HSCT patients and that the patients usually presented mucositis and were neutropenic at the onset of the infection.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use*
  • Bacteremia / diagnosis*
  • Bacteremia / drug therapy
  • Capnocytophaga / isolation & purification*
  • Gram-Negative Bacterial Infections / diagnosis*
  • Gram-Negative Bacterial Infections / drug therapy
  • Gram-Negative Bacterial Infections / immunology
  • Hematopoietic Stem Cell Transplantation / methods*
  • Humans
  • Meropenem / therapeutic use
  • Middle Aged
  • Mucositis
  • Neutrophils / immunology*
  • Piperacillin / therapeutic use
  • RNA, Ribosomal, 16S
  • Sequence Analysis, DNA
  • Tazobactam / therapeutic use
  • Transplantation, Autologous

Substances

  • Anti-Bacterial Agents
  • RNA, Ribosomal, 16S
  • Meropenem
  • Tazobactam
  • Piperacillin

Supplementary concepts

  • Capnocytophaga sputigena