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ArticleForensic science, medicine, and pathology2026

Capnocytophaga canimorsus: meningitis and Waterhouse-Friderichsen syndrome in an immunocompetent patient.

A Fort, J Liance, J Borges, C Recule, M Peoc'h, V Scolan

Abstract readCase Reports
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In one paragraph

Article in Forensic science, medicine, and pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

A FortForensic Medicine Department, Grenoble Alpes University Hospital, Grenoble, France. afort2@chu-grenoble.fr.ORCID http://orcid.org/0009-0003-9343-6873
J LianceForensic Medicine Department, Lille University Hospital, Lille, France.
J BorgesForensic Medicine Department, Grenoble Alpes University Hospital, Grenoble, France.
C ReculeLaboratory of Bacteriology, Grenoble Alpes University Hospital, Grenoble, France.
M Peoc'hPathology Department, Saint-Etienne University Hospital, Saint-Etienne, France.
V ScolanForensic Medicine Department, Grenoble Alpes University Hospital, Grenoble, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diagnosing sudden, unexplained death in healthy individuals is challenging. This case report details a rare case of fatal Waterhouse-Friderichsen Syndrome (WFS) in a previously healthy 27-year-old man. Post-mortem examination revealed vomit stains, widespread purpura, and haemorrhagic adrenal glands. Microbiological analysis confirmed a systemic infection with Capnocytophaga canimorsus. While C. canimorsus infections are uncommon, their association with WFS is exceedingly rare. To our knowledge, this is the first documented case of fatal C. canimorsus sepsis causing WFS in an immunocompetent patient with no history of a dog bite. This case highlights the critical importance of post-mortem microbiological analyses in sudden, unexplained deaths, even when typical risk factors are absent.

Indexed as

CapnocytophagaGram-Negative Bacterial InfectionsMeningitis, BacterialWaterhouse-Friderichsen SyndromeAdultHumansImmunocompetenceMaleAdrenal haemorrhageCapnocytophaga canimorsusForensic pathologyImmunocompetentMeningitis

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.