Department of Clinical Sciences Lund, Division of Infection Medicine, Lund University, Lund, Sweden
Patrik Gilje
Department of Clinical Sciences Lund, Division of Cardiology, Lund University, Lund, Sweden; Skåne University Hospital, Lund, Sweden
Johan Tham
Department of Translational Medicine, Division of Clinical Infection Medicine, Lund University, Malmö, Sweden; Skåne University Hospital, Malmö, Sweden
Sandra Lindstedt
Skåne University Hospital, Lund, Sweden; Deptartment of of Clinical Sciences Lund, Division of Cardiothoracic Surgery and Transplantation, Lund University, Lund, Sweden; Wallenberg Center for Molecular Medicine, Lund University, Sweden; Lund Stem Cell Center, Lund University, Sweden
Magnus Rasmussen
Department of Clinical Sciences Lund, Division of Infection Medicine, Lund University, Lund, Sweden; Skåne University Hospital, Lund, Sweden; Corresponding author at: Division of Infection Medicine Diseases, Department of Clinical Sciences Lund, Lund University, BMC B14, SE-223 63, Lund, Sweden.
Capnocytophaga canimorsus is an uncommon cause of infective endocarditis (IE) and mainly affects persons with compromised immune-systems who have been in contact with dogs. We describe a case of C. canimorsus tricuspid valve IE in a 70 year-old dog-owner where diagnosis and treatment were delayed. The reason for the delayed diagnosis in this case was likely due to that initial blood cultures were negative due to preceding antibiotic treatment, discrepancies between echocardiographic investigations, and a thymoma and colonic polyps which were thought to explain the symptoms. A multi-diciplinary approach in cases with suspected IE might help to avoid diagnostic delays.
